MEDICARE: DR. AMIN NASEHI D.D.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	1223P0700X	Prosthodontics	4441	AR
2	122300000X	Dentist	2901602642	MI

General Provider Information

NPI Number	:	1710413745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIN NASEHI D.D.S.

Provider Business Mailing Address
First Line	:	2700 MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48208-2576
Country	:	US
Telephone Number	:	313-494-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5008 S U ST STE 101A
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3613
Country	:	US
Telephone Number	:	479-452-8800
Fax Number	:	479-452-8800

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

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	07/14/2025

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Directions to “ DR. AMIN NASEHI D.D.S.” Practice Location

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