Provider Demographics
NPI:1275812356
Name:HOSSEINI, SEYED AMIR M (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEYED AMIR
Middle Name:M
Last Name:HOSSEINI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2227 GRANITE DR
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-1604
Mailing Address - Country:US
Mailing Address - Phone:925-918-2957
Mailing Address - Fax:
Practice Address - Street 1:2227 GRANITE DR
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-1604
Practice Address - Country:US
Practice Address - Phone:925-918-2957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA644691223X0400X
NV6118122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist