Dr Reza Heshmati, DDS | |
805 Broadway St Ste 110, Vancouver, WA 98660-3283 | |
(360) 524-7100 | |
(360) 524-7101 |
Full Name | Dr Reza Heshmati |
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Gender | Male |
Speciality | Dentist - Prosthodontics |
Location | 805 Broadway St Ste 110, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508929753 | NPI | - | NPPES |
2276504 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | 71-0000152 (Ohio) | Secondary |
1223P0700X | Dentist - Prosthodontics | 61262027 (Washington) | Primary |
Entity Name | Ohio State Dental Faculty Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164537684 PECOS PAC ID: 5496788630 Enrollment ID: O20050916000944 |
Mailing Address | Practice Location Address |
---|---|
Dr Reza Heshmati, DDS 305 W 12th Ave, Columbus, OH 43210-1267 Ph: (614) 292-1472 | Dr Reza Heshmati, DDS 805 Broadway St Ste 110, Vancouver, WA 98660-3283 Ph: (360) 524-7100 |
Dr. Junghee Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7819 Ne 13th Ave, Vancouver, WA 98665 Phone: 360-546-1106 | |
Dr. Paria Mazareei, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12116 Se Mill Plain Blvd Ste 3, Vancouver, WA 98684 Phone: 727-458-6536 | |
Dr. Melissa Grant, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7725 Ne Highway 99, Vancouver, WA 98665 Phone: 360-696-4487 | |
Esther Su Young, RETIRED DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4610 Nw 138th St, Vancouver, WA 98685 Phone: 360-852-0179 | |
Dr. Susan Marie Karagianes, DMD Dentist Medicare: Medicare Enrolled Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 360-571-3138 | |
Dr. John Robert Sundell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12711 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-896-4484 Fax: 360-896-4489 | |
Mrs. Kristine H Pham, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1300 Ne 134th Street, Vancouver, WA 98685 Phone: 360-546-5208 Fax: 360-574-2878 |