Provider Demographics
NPI:1326390758
Name:NOROUZINIA, BAHMAN (DDS MS)
Entity type:Individual
Prefix:DR
First Name:BAHMAN
Middle Name:
Last Name:NOROUZINIA
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:DR
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:NOROUZINIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS MS
Mailing Address - Street 1:13065 E 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2532
Mailing Address - Country:US
Mailing Address - Phone:303-724-6970
Mailing Address - Fax:
Practice Address - Street 1:9090 SOUTH RIDGELINE BLVD STE 225
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2507
Practice Address - Country:US
Practice Address - Phone:303-683-1144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2025011223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics