Dr. Payam Owtad, DDS, MS, DHEd
Dentist, Orthodontics and Dentofacial Orthopedics in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1356757157
StatusActive
Last updated in NPPESJun 4, 2020
Details
- NPI
- 1356757157
- Entity type
- Individual (NPI-1)
- Name
- Dr. Payam Owtad
- Credential
- DDS, MS, DHEd
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2014
- Certification date
- Jun 4, 2020
- Last updated
- Jun 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | D009000 | AZ | Yes |
Practice location
2899 N 87th St Ste 105Scottsdale, AZ 85257-1767
Phone 650-275-3843
Mailing address
2899 N 87th St Ste 105Scottsdale, AZ 85257-1767
Phone 520-275-3843
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