Tina Shamszadeh
Dentist in Albany, NY. Individual provider (NPI-1).
NPI number1164087706
StatusActive
Last updated in NPPESSep 9, 2022
Details
- NPI
- 1164087706
- Entity type
- Individual (NPI-1)
- Name
- Tina Shamszadeh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2019
- Certification date
- Sep 9, 2022
- Last updated
- Sep 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 061298-01 | NY | Yes |
| 122300000X | Dentist | 22DI02808800 | NJ |
Practice location
979 Central Ave Ste 400Albany, NY 12205-3522
Phone 718-283-6000
Mailing address
979 Central Ave Ste 400Albany, NY 12205-3522
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