Dr Shahnaz L Formoli, DDS - Dentist in Sacramento, CA

Dr Shahnaz L Formoli, DDS is a Dentist - General Practice based in Sacramento, California. Dr Shahnaz L Formoli is licensed to practice in California (license number 43149) and her current practice location is 4360 Arden Way, #3, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at (916) 485-4800.

NPI number for Dr Shahnaz L Formoli is 1134316706 and her current mailing address is 4360 Arden Way, #3, Sacramento, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134316706.

Contact Information

Dr Shahnaz L Formoli, DDS
4360 Arden Way, #3,
Sacramento, CA 95864-3153
(916) 485-4800
(916) 483-4806



Healthcare Provider's Profile

Full NameDr Shahnaz L Formoli
GenderFemale
SpecialityDentist - General Practice
Location4360 Arden Way, Sacramento, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134316706
  • Provider Enumeration Date: 09/27/2007
  • Last Update Date: 09/27/2007

Medical Identifiers

Medical identifiers for Dr Shahnaz L Formoli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134316706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 43149 (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 Shahnaz L Formoli 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 AddressPractice Location Address
Dr Shahnaz L Formoli, DDS
4360 Arden Way, #3,
Sacramento, CA 95864-3153

Ph: (916) 485-4800
Dr Shahnaz L Formoli, DDS
4360 Arden Way, #3,
Sacramento, CA 95864-3153

Ph: (916) 485-4800

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