# ADEL SHAYEGAN DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801008248
- **Authorized official:** ADEL SHAYEGAN DMD (PRESIDENT)
- **Authorized official phone:** (602) 955-1780

## Contact information

- **Practice address:** 4203 E INDIAN SCHOOL RD, \# 220, PHOENIX, AZ 85018-5359
- **Practice address phone:** (602) 955-1780
- **Practice address fax:** (602) 955-1153
- **Mailing address:** 4203 E INDIAN SCHOOL RD, \# 220, PHOENIX, AZ 85018-5359
- **Mailing address phone:** (602) 955-1780
- **Mailing address fax:** (602) 955-1153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4772 | AZ | Yes |

## Other

- **Enumeration date:** 05/06/2007
- **Last updated:** 08/22/2020