Provider Demographics
NPI:1477242808
Name:SAGHIZADEH DENTAL PARTNERSHIP
Entity Type:Organization
Organization Name:SAGHIZADEH DENTAL PARTNERSHIP
Other - Org Name:NEWBURY DENTAL GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PARTNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PEYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGHIZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-375-9383
Mailing Address - Street 1:1000 NEWBURY RD STE 280
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-6445
Mailing Address - Country:US
Mailing Address - Phone:805-375-9383
Mailing Address - Fax:805-375-9386
Practice Address - Street 1:1000 NEWBURY RD STE 13A
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-6435
Practice Address - Country:US
Practice Address - Phone:805-375-9383
Practice Address - Fax:805-375-9386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty