Healthcare Provider Details

I. General information

NPI: 1255131405
Provider Name (Legal Business Name): ZAGROS DENTAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/17/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 HERO WAY SUITE 110
LEANDER TX
78641
US

IV. Provider business mailing address

7200 FOXTREE CV
AUSTIN TX
78750-7932
US

V. Phone/Fax

Practice location:
  • Phone: 512-850-6920
  • Fax:
Mailing address:
  • Phone: 281-948-4961
  • 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. SAHAR GHAMSARI
Title or Position: PRESIDENT/ DENTIST
Credential: DDS
Phone: 512-850-6920