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

DR. SHAHRAM FAZILAT, D.D.S.

Active Sole Proprietor

DR. SHAHRAM FAZILAT, D.D.S. is a Pediatric Dentistry healthcare provider located in VANCOUVER, Washington. NPI 1437347457 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · VANCOUVER, WA

Registration Details

NPI Number: 1437347457
Provider Type: Individual
Gender: Male
NPI Issued: Oct 4, 2007 (18.893016848157 yrs)
Last Updated: Oct 4, 2007
License: DE00010790 (WA)
Sole Proprietor: Yes

Practice Information

Address: 1307 NE 78TH ST

SUITE B13

VANCOUVER, WA, 986659670
Browse WA providers · Browse ZIP 98665
Phone: 3605740900
Fax: 3605746338
Primary Specialty: Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in VANCOUVER, WA

Name	Credential	NPI
DR. PAMELA BUTLER	DMD	1801831508
DR. REMIGIUS JOSEPH EUSSEN	DDS	1033131909
DR. PETER LUBISICH	DDS	1396756029
DR. JOHN ALLAN BURKHART	D.M.D.	1265444152
PRASHANT GAGNEJA	BDS, MDS	1194800177
WILLIE M HARDIE	DDS	1093891533

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.