Arezo Hesaraki, DDS | |
1050 W 10th St, Ste 480, Rolla, MO 65401-2905 | |
(573) 426-4455 | |
(573) 426-4454 |
Full Name | Arezo Hesaraki |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 1050 W 10th St, Rolla, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174928857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2014031462 (Missouri) | Secondary |
1223G0001X | Dentist - General Practice | 61113 (Kansas) | Primary |
Entity Name | Swope Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861587511 PECOS PAC ID: 5294644530 Enrollment ID: O20110921000686 |
Mailing Address | Practice Location Address |
---|---|
Arezo Hesaraki, DDS 1050 W 10th St, Ste 480, Rolla, MO 65401-2905 Ph: (573) 426-4455 | Arezo Hesaraki, DDS 1050 W 10th St, Ste 480, Rolla, MO 65401-2905 Ph: (573) 426-4455 |
Dr. William Bernard Moorkamp Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 912 N Cedar St, Rolla, MO 65401 Phone: 573-364-1345 Fax: 573-364-4764 | |
Dr. Stephanie Lynn Hawley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1491 E 10th St, Rolla, MO 65401 Phone: 573-364-2868 | |
David Dumbach, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1081 E 18th St, Rolla, MO 65401 Phone: 573-426-2407 Fax: 573-426-6723 | |
Michael Wayne Malone, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 800 North State Street, Rolla, MO 65401 Phone: 573-364-2575 Fax: 573-364-1831 | |
Dr. David Allen Galvan, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1016 S Bishop Ave, Rolla, MO 65401 Phone: 573-341-3383 Fax: 573-341-3485 | |
Dr. Steven Thomas Atkinson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1491 E 10th St, Rolla, MO 65401 Phone: 573-364-2868 |