MEDICARE: DR. BAHMAN NOROUZINIA D.D.S. M.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	202501	CO

General Provider Information

NPI Number	:	1326390758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BAHMAN NOROUZINIA D.D.S. M.S

Provider Business Mailing Address
First Line	:	13065 E 17TH AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80045-2532
Country	:	US
Telephone Number	:	303-724-6970
Fax Number	:

Provider Business Practice Location Address
First Line	:	9090 SOUTH RIDGELINE BLVD STE 225
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2507
Country	:	US
Telephone Number	:	303-683-1144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2012
Last Update Date	:	02/07/2022

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