Provider Demographics
NPI:1356146054
Name:AMIN PAKZAD DENTISTRY PLLC
Entity type:Organization
Organization Name:AMIN PAKZAD DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:AMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAKZAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-405-1935
Mailing Address - Street 1:6216 WENTWORTH DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73025-2799
Mailing Address - Country:US
Mailing Address - Phone:214-405-1935
Mailing Address - Fax:
Practice Address - Street 1:4440 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1533
Practice Address - Country:US
Practice Address - Phone:405-456-0610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental