Sedighian, Ali Reza
Sedighian, Ali Reza is an individual health care provider with primary practice located at 9005 Chevrolet Dr Suite 1, Ellicott City MD 21042-4009. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sedighian, Ali Reza can be contacted via phone (410) 465-3021.Contact Information
Primary practice address
9005 Chevrolet Dr Suite 1
Ellicott City MD 21042-4009
Phone: (410) 465-3021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12016 | Maryland |
Profile Details
| NPI number | 1316938228 |
|---|---|
| LBN Legal business name | Sedighian, Ali Reza |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316938228 | NPPES |
| Maryland | MEDICAID | 4103568571 |
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