Provider Demographics
NPI:1437739018
Name:SHEKARI, FIROOZEH (DDS)
Entity Type:Individual
Prefix:
First Name:FIROOZEH
Middle Name:
Last Name:SHEKARI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 KENNEDY LN
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2428
Mailing Address - Country:US
Mailing Address - Phone:903-306-2384
Mailing Address - Fax:903-306-2459
Practice Address - Street 1:3225 KENNEDY LN
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2428
Practice Address - Country:US
Practice Address - Phone:903-306-2384
Practice Address - Fax:903-306-2459
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX382381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice