Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MEHRDAD MOGHADDARI, DDS
ActiveDental Public Health · DAHLONEGA, GA
Registration Details
- NPI Number
- 1588666309
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2005 (20.69506248329 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN011636 (GA)
Practice Information
- Address
-
56A SHORT STDAHLONEGA, GA, 305330543Browse GA providers · Browse ZIP 30533
- Phone
- 7068672727
- Fax
- 7068672739
- Primary Specialty
-
Dental Public Health
1223D0001X
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.