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General NPI Number Information
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NPI Number | 1275497984
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Entity Type | Organization
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Legal Business Name | ALI SHAHRESTANI, D.M.D., PLLC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 690 BLUEFIELD RD STE A
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City | MOORESVILLE
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State | NC
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Zip | 28117-7005
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Country | US
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Telephone | 704-659-0972
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Fax | 704-659-4439
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Provider Business Mailing Address
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Address Line | PO BOX 660041
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City | DALLAS
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State | TX
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Zip | 75266-0041
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Country | US
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Telephone | 714-845-8890
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Fax | 303-952-0892
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Authorized Official
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Title or Position | OWNER
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Name | ALI SHAHRESTANI
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Credential | DMD
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Telephone | 704-659-0972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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