Provider Demographics
NPI:1700281854
Name:AMIR SADJADI DMD
Entity Type:Organization
Organization Name:AMIR SADJADI DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:H
Authorized Official - Last Name:SADJADI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:949-861-8441
Mailing Address - Street 1:4950 BARRANCA PKWY STE 304
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4631
Mailing Address - Country:US
Mailing Address - Phone:949-861-8441
Mailing Address - Fax:949-861-8460
Practice Address - Street 1:4950 BARRANCA PKWY STE 304
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4631
Practice Address - Country:US
Practice Address - Phone:949-861-8441
Practice Address - Fax:949-861-8460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-31
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty