DR. KOUROSH SEIFOLAHI BAZARJANI (NPI# 1093313181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093313181 |
| Entity Type | Individual |
| Full Name | DR. KOUROSH SEIFOLAHI BAZARJANI |
| Credential | DDS |
| Practice Address |
1098 Woodcreek Oaks Blvd Apt 2804 Roseville CA 95747-6234 |
| Practice Telephone | 8186963473 |
| Mailing Telephone | 8186963473 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401417219 | VA | Dental Providers |
| Street Address |
1098 WOODCREEK OAKS BLVD APT 2804 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747-6234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407051 | Clifford Leo Faubert | Nurse Practitioner | 1937 Ellesmere Loop, Roseville, CA 95747 | 2018-12-04 |
| 1821577172 | Adam Botwinik | Psychologist | 8849 Cook Riolo Road, Roseville, CA 95747 | 2018-08-08 |
| 1093231201 | Heather Mairi Ybarra | Behavior Technician | 4216 Wyman Way, Roseville, CA 95747 | 2017-08-18 |
| 1881114650 | Bridget Bell | Behavior Technician | 8202 Tail Race Dr, Roseville, CA 95747 | 2017-06-22 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1184975625 | Whitney Anne Wright | Marriage & Family Therapist | 7517 Locomotive Ln, Roseville, CA 95747 | 2012-09-24 |
| 1962764290 | Panumas Soukaroon | Physical Medicine & Rehabilitation | Glenwood Springs Way, Roseville, CA 95747 | 2012-06-12 |
| 1134487366 | Tatyana Serikov | Dental Hygienist | 616 Treviso Ct, Roseville, CA 95747 | 2012-04-25 |
| 1720352099 | Peggy Holcomb | Clinical Neuropsychologist | 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 | 2012-03-02 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| Find all providers in zip 95747 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1447878574 | Fatemeh Mahboub | Dentist | 500 Roseville Pkwy Apt 1315, Roseville, CA 95747-4682 | 2020-07-06 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1891287405 | Hadeel Alniemi | Dentist | 2690 Snelling Ave N # 250, Roseville, MN 55113-1700 | 2018-05-31 |
| 1952817264 | Fady A Khalil | Dentist | 1280 Laysan Teal Dr, Roseville, CA 95747-4643 | 2017-12-21 |
| 1336653294 | Insiyah Zanzi | Dentist | 1424 Blue Oaks Blvd, Roseville, CA 95747-7143 | 2017-11-29 |
| 1558872010 | Nafisa A Elmi | Dentist | 1700 Highway 36 W Ste 860, Roseville, MN 55113 | 2017-10-23 |
| 1891238929 | Magaly C Ferreira | Dentist | 2690 Snelling Ave N Ste 250, Roseville, MN 55113-1700 | 2016-11-21 |
| 1104374206 | Emilia Lavinia Dinea-berci | Dentist | 1259 Pleasant Grove Blvd Ste 100, Roseville, CA 95678-6974 | 2016-09-17 |
| 1205283264 | Katherine Hannon | Dentist | 2575 Hamline Ave N Ste F, Roseville, MN 55113-3175 | 2016-05-19 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.