# R MOVAHED DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Movahed OMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497411953
- **Authorized official:** REZA MOVAHED DMD (OWNER)
- **Authorized official phone:** (314) 878-6725

## Contact information

- **Practice address:** 1585 WOODLAKE DR STE 208, CHESTERFIELD, MO 63017-5740
- **Practice address phone:** (314) 878-6725
- **Mailing address:** 1585 WOODLAKE DR STE 208, CHESTERFIELD, MO 63017-5740
- **Mailing address phone:** (314) 878-6725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/09/2021
- **Last updated:** 06/02/2023