Provider Demographics
NPI:1073800546
Name:SADEGHI, SOMAYEH (DMD)
Entity Type:Individual
Prefix:DR
First Name:SOMAYEH
Middle Name:
Last Name:SADEGHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-2967
Mailing Address - Country:US
Mailing Address - Phone:718-860-8440
Mailing Address - Fax:718-842-2851
Practice Address - Street 1:951 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-2967
Practice Address - Country:US
Practice Address - Phone:718-860-8440
Practice Address - Fax:718-842-2851
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program