Ghorbani-Moghaddam, Hamed
Ghorbani-Moghaddam, Hamed is an sole proprietor health care provider with primary practice located at 2690 E Main St Columbia Dental, Bridgeport CT 06610-1422. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Ghorbani-Moghaddam, Hamed can be contacted via phone (203) 612-6079.Contact Information
Primary practice address
2690 E Main St Columbia Dental
Bridgeport CT 06610-1422
Phone: (203) 612-6079
Fax: (203) 612-6081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11154 | Connecticut |
| Dental Providers / Endodontics | 1223E0200X | 11154 | Connecticut |
Profile Details
| NPI number | 1700144714 |
|---|---|
| LBN Legal business name | Ghorbani-Moghaddam, Hamed |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2012 |
| Last updated | May 3rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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