Provider Demographics
NPI:1124771209
Name:NAGHIBI, FARSHID SEYED (DDS)
Entity type:Individual
Prefix:
First Name:FARSHID
Middle Name:SEYED
Last Name:NAGHIBI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:SEYED FARSHID
Other - Middle Name:
Other - Last Name:NAGHIBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:10217 19TH AVE SE STE 201
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-4266
Mailing Address - Country:US
Mailing Address - Phone:509-379-4278
Mailing Address - Fax:
Practice Address - Street 1:10217 19TH AVE SE STE 201
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-4266
Practice Address - Country:US
Practice Address - Phone:509-379-4278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-30
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE612045061223X2210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X2210XDental ProvidersDentistOrofacial PainGroup - Single Specialty