Healthcare Provider Details

I. General information

NPI: 1326962333
Provider Name (Legal Business Name): NOMAD SMILES DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MANHATTANVILLE RD STE 104
PURCHASE NY
10577-2129
US

IV. Provider business mailing address

1 MANHATTANVILLE RD STE 104
PURCHASE NY
10577-2129
US

V. Phone/Fax

Practice location:
  • Phone: 929-773-7678
  • Fax:
Mailing address:
  • Phone: 929-773-7678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. SEYED-SHAHRIAR RIAZI
Title or Position: OWNER/DENTIST
Credential: DMD
Phone: 929-773-7678