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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIRBOD TODD FATTAHI, M.D. , DDS

Active

DR. TIRBOD TODD FATTAHI, M.D. , DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in JACKSONVILLE, Florida. NPI 1093780603 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · JACKSONVILLE, FL

Registration Details

NPI Number
1093780603
Provider Type
Individual
Gender
Male
NPI Issued
Feb 18, 2006 (20.44728567389 yrs)
Last Updated
Apr 29, 2008
Licenses
ME85119 (FL)
DTP368 (FL)

Practice Information

Address
655 W 8TH ST
UFJP ORAL SURGERY
JACKSONVILLE, FL, 322096511
Browse FL providers · Browse ZIP 32209
Phone
9042443901
Fax
9042443218
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Additional Specialty
Dentist

Other Oral & Maxillofacial Surgery (Physician) Providers in JACKSONVILLE, FL

Name Credential NPI
DR. RICHARD WAYNE JOSEPH SR. DMD 1144210964
DR. BARRY STEINBERG M.D., D.D.S. 1700851961
DR. RUI PAULO FERNANDES M.D. , D.M.D. 1861467078
DR. STEPHANIE REEDER HENLEY MD, D.M.D. 1093821647
STEPHEN CRAIG ENGLISH DMD 1780755314
CHRISTOPHER WRIGHT LATHAM DMD 1831353747
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.