Provider Demographics
NPI:1265049886
Name:SEAN HASHEMI D.D,S, INC
Entity type:Organization
Organization Name:SEAN HASHEMI D.D,S, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:HASHEMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-523-7580
Mailing Address - Street 1:6555 TELEPHONE RD STE 8
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-4460
Mailing Address - Country:US
Mailing Address - Phone:805-642-2790
Mailing Address - Fax:
Practice Address - Street 1:6555 TELEPHONE RD STE 8
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-4460
Practice Address - Country:US
Practice Address - Phone:805-642-2790
Practice Address - Fax:805-338-5850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
1194946566OtherNPI TYPE 1