Individual
DR. SHAHEEN M MOEZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5600 W 44TH AVE STE 200, DENVER, CO 80212-7339
(303) 421-0063
(720) 907-1485
Mailing address
8301 E PRENTICE AVE STE 215, GREENWOOD VILLAGE, CO 80111-2990
(720) 606-4220
(720) 606-4221
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
00202224
CO
1223G0001X
General Practice Dentistry
3121
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06678866
—
CO
Enumeration date
08/29/2011
Last updated
08/27/2020
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