Provider Demographics
NPI:1700525565
Name:ASHKAN TAJEDDINI, DMD, PLLC
Entity Type:Organization
Organization Name:ASHKAN TAJEDDINI, DMD, PLLC
Other - Org Name:SOUTH CARY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:ASHKAN
Authorized Official - Last Name:TAJEDDINI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:919-866-3200
Mailing Address - Street 1:530 NEW WAVERLY PL STE 302
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7414
Mailing Address - Country:US
Mailing Address - Phone:919-866-3200
Mailing Address - Fax:919-854-4866
Practice Address - Street 1:530 NEW WAVERLY PL STE 302
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7414
Practice Address - Country:US
Practice Address - Phone:919-866-3200
Practice Address - Fax:919-854-4866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty