=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164238036
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A SOLEIMANI PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/05/2024
-----------------------------------------------------
Last Update Date | 12/05/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3300 E 1ST AVE STE 580
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80206-5818
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-321-0055
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3300 E 1ST AVE STE 580
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80206-5818
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-321-0055
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. AMIR SOLEIMANI
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 303-321-0055
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------