Provider Demographics
NPI:1194110866
Name:SAGHAFI, NEGIN (DDS MD)
Entity type:Individual
Prefix:DR
First Name:NEGIN
Middle Name:
Last Name:SAGHAFI
Suffix:
Gender:F
Credentials:DDS MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7455 E. TANQUE VERDE ROAD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715
Mailing Address - Country:US
Mailing Address - Phone:520-745-2454
Mailing Address - Fax:520-745-0014
Practice Address - Street 1:7455 E. TANQUE VERDE ROAD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715
Practice Address - Country:US
Practice Address - Phone:520-745-2454
Practice Address - Fax:520-745-0014
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD96991223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery