Provider Demographics
NPI:1588051460
Name:SHAHBAZI, NAJMEH
Entity type:Individual
Prefix:
First Name:NAJMEH
Middle Name:
Last Name:SHAHBAZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10401 E MCDOWELL MOUNTAIN RANCH RD STE 130
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7525
Mailing Address - Country:US
Mailing Address - Phone:480-358-7224
Mailing Address - Fax:
Practice Address - Street 1:10401 E MCDOWELL MOUNTAIN RANCH RD STE 130
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7525
Practice Address - Country:US
Practice Address - Phone:480-358-7224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-19
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC113471223P0221X
AZ95851223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ9585OtherARIZONA STATE BOARD