Dr. Shahram Fazilat is a Vancouver, Washington based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Shahram Fazilat is DE00010790 for Pediatric Dentistry in Washington. His current practice location is 1307 Ne 78th St, Suite B13, Vancouver. Patients can reach him at 360-574-0900.
Dr. Shahram Fazilat provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Shahram Fazilat speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Shahram Fazilat
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1307 Ne 78th St, Suite B13, Vancouver, Washington, 98665-9670
Phone:
360-574-0900
Fax:
360-574-6338
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1437347457
NPI Enumeration Date:
04 Oct, 2007
NPI Last Update On:
04 Oct, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shahram Fazilat are as mentioned below.
License Number
Specialization
State
Status
DE00010790
Pediatric Dentistry
Washington
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
930 Nw 12th Ave, Apt#519 Portland, Oregon
Zip:
97209-3072
Patients can reach Dr. Shahram Fazilat at 1307 Ne 78th St, Suite B13, Vancouver, Washington or can call to book an appointment on 360-574-0900. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.