Provider Demographics
NPI:1871653618
Name:AMINYAR, HOMAYOUN SHAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOMAYOUN
Middle Name:SHAH
Last Name:AMINYAR
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 1:141 FAIRWAY TER
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1304
Mailing Address - Country:US
Mailing Address - Phone:917-215-0216
Mailing Address - Fax:
Practice Address - Street 1:141 FAIRWAY TER
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1304
Practice Address - Country:US
Practice Address - Phone:917-215-0216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1020128001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics