Ghorbani Moghaddam, Nima

Ghorbani Moghaddam, Nima is an individual health care provider with primary practice located at 203 N Lake Dr , Lexington SC 29072-2833. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Ghorbani Moghaddam, Nima can be contacted via phone (803) 520-3110.

Contact Information

Primary practice address
203 N Lake Dr Lexington SC 29072-2833
Phone: (803) 520-3110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 11559 South Carolina
Dental Providers / General Practice 1223G0001X 11559 South Carolina

Profile Details

NPI number 1104741149
LBN Legal business name Ghorbani Moghaddam, Nima
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2026
Last updated Sep 1st, 2026 - about last month

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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