Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEYED HESHMAT MORTAZAVI, DMD
ActiveSEYED HESHMAT MORTAZAVI, DMD is a Dentist healthcare provider located in GALLUP, New Mexico. NPI 1902833973 is currently active in the NPPES registry. Verify at CMS.
Dentist · GALLUP, NM
Registration Details
- NPI Number
- 1902833973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2006 (19.957082665807 yrs)
- Last Updated
- Apr 11, 2008
- Licenses
-
DE00007118 (WA)DD2342 (NM)
Practice Information
- Address
-
516 E. NIZHONI BLVDGALLUP, NM, 873011337Browse NM providers · Browse ZIP 87301
- Phone
- 5057221000
- Fax
- 5057221565
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in GALLUP, NM
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY L. AMBROSE | DDS | 1003850116 |
| JOVITO G SABAL | D.D.S | 1063449577 |
| ANTHONY VITALI | DMD | 1740218874 |
| STEVEN DEWAYNE FLORER | DDS | 1891723748 |
| TANYA M ROBINSON | DDS | 1316971849 |
| JAMES I PATTEN | DDS | 1518991041 |
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.