Healthcare Provider Details

I. General information

NPI: 1568304533
Provider Name (Legal Business Name): SAFA IRANPOUR DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 RIDGE RD
BROOKLYN OH
44144-2714
US

IV. Provider business mailing address

4301 RIDGE RD
BROOKLYN OH
44144-2714
US

V. Phone/Fax

Practice location:
  • Phone: 216-749-0747
  • Fax: 216-739-9544
Mailing address:
  • Phone: 216-749-0747
  • Fax: 216-739-9544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. SAFA IRANPOUR
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 216-749-0747