Provider Demographics
NPI:1194547356
Name:A R SEDIGHIAN, DDS, PA
Entity type:Organization
Organization Name:A R SEDIGHIAN, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:R
Authorized Official - Last Name:SEDIGHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-979-7980
Mailing Address - Street 1:9005 CHEVROLET DR STE 1
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-4030
Mailing Address - Country:US
Mailing Address - Phone:410-465-3021
Mailing Address - Fax:410-461-8694
Practice Address - Street 1:9005 CHEVROLET DR STE 1
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-4030
Practice Address - Country:US
Practice Address - Phone:410-465-3021
Practice Address - Fax:410-461-8694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental