Dr Parisa Mortazavi, DDS in San Jose, CA - Dentist

Dr Parisa Mortazavi, DDS is a Dentist - General Practice based in San Jose, California. Dr Parisa Mortazavi is licensed to practice in California (license number 48338) and her current practice location is 4155 Moorpark Ave Ste 10, San Jose, California. She can be reached at her office (for appointments etc.) via phone at (408) 410-5398.

NPI number for Dr Parisa Mortazavi is 1043436835 and her current mailing address is 7258 Wild Creek Dr, San Jose, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043436835.

Contact Information

	Dr Parisa Mortazavi, DDS
	4155 Moorpark Ave Ste 10, San Jose, CA 95117-1714
	(408) 410-5398
	Not Available

Healthcare Provider's Profile

Full Name	Dr Parisa Mortazavi
Gender	Female
Speciality	Dentist - General Practice
Location	4155 Moorpark Ave Ste 10, San Jose, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1043436835
Provider Enumeration Date: 04/18/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Parisa Mortazavi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043436835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	48338 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Parisa Mortazavi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Parisa Mortazavi, DDS 7258 Wild Creek Dr, San Jose, CA 95120-3438 Ph: (408) 410-5398	Dr Parisa Mortazavi, DDS 4155 Moorpark Ave Ste 10, San Jose, CA 95117-1714 Ph: (408) 410-5398

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Dr Parisa Mortazavi, DDS - Dentist in San Jose, CA