Hoda Imeni Bassiri, D.D.S.
Dentist in Raleigh, NC. Individual provider (NPI-1).
NPI number1730449554
StatusActive
Last updated in NPPESJun 11, 2016
Details
- NPI
- 1730449554
- Entity type
- Individual (NPI-1)
- Name
- Hoda Imeni Bassiri
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2012
- Last updated
- Jun 11, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 9284 | NC | Yes |
Practice location
6400 Creedmoor RdSuite 103
Raleigh, NC 27613-3600
Phone 919-977-7480 · Fax 919-977-7481
Mailing address
6400 Creedmoor RdSuite 103
Raleigh, NC 27613-3600
Phone 919-977-7480 · Fax 919-977-7481
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