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NPI Code Detail

MEDICARE: AMIN PAKZAD DDS PLLC

MEDICARE: AMIN PAKZAD DDS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1306603212
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMIN PAKZAD DDS PLLC
Provider Business Mailing Address
First Line : 981 N SANTA FE AVE
Second Line :
City : EDMOND
State : OK
Zip : 73003-4337
Country : US
Telephone Number : 405-562-6606
Fax Number :
Provider Business Practice Location Address
First Line : 981 N SANTA FE AVE
Second Line :
City : EDMOND
State : OK
Zip : 73003-4337
Country : US
Telephone Number : 405-562-6606
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AMIN PAKZAD
Credential : DDS
Telephone Number : 405-562-6606
Provider Enumeration Date : 03/06/2024
Last Update Date : 03/06/2024

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Directions to “AMIN PAKZAD DDS PLLC ” Practice Location

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