Heshmati, Reza

Heshmati, Reza is an individual health care provider with primary practice located at 305 W 12Th Ave , Columbus OH 43210-1267. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Heshmati, Reza can be contacted via phone (614) 292-1472.

Contact Information

Primary practice address
305 W 12Th Ave Columbus OH 43210-1267
Phone: (614) 292-1472
Fax: (614) 292-9422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X Ohio

Profile Details

NPI number 1508929753
LBN Legal business name Heshmati, Reza
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508929753 NPPES
Ohio MEDICAID 2276504

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