Provider Demographics
NPI:1609506211
Name:HASHEMI-TOROGHI, ALEX PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:PATRICK
Last Name:HASHEMI-TOROGHI
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 1:441 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-3563
Mailing Address - Country:US
Mailing Address - Phone:515-291-4520
Mailing Address - Fax:
Practice Address - Street 1:951 NE GATEWAY DRIVE
Practice Address - Street 2:
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111
Practice Address - Country:US
Practice Address - Phone:515-986-4381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-099841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice