Dr. Tirbod Todd Fattahi
Dentist Oral & Maxillofacial Surgeon
655 W 8th St Ufjp Oral Surgery
Jacksonville
, Florida 32209-6511
Dr. Tirbod Todd Fattahi
Dentist Oral & Maxillofacial Surgeon
655 W 8th St Ufjp Oral Surgery
Jacksonville
, Florida 32209-6511
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About
Features
Specialties
- Dentist
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Tirbod Todd Fattahi
- Po Box 44008 Ufjp Provider Enrollment
- Jacksonville, FL
- Zip : 32231-4008
- Phone :
Second Address
- Dr. Tirbod Todd Fattahi
- 655 W 8th St Ufjp Oral Surgery
- Jacksonville, FL
- Zip : 32209-6511
- Fax : (904) 244-3218
- Phone : (904) 244-3901
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FAQs
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What type of doctor is Dr. Tirbod Todd Fattahi
In what state does Dr. Tirbod Todd Fattahi practice in?
Where is Dr. Tirbod Todd Fattahi ’s practice located?
What is Dr. Tirbod Todd Fattahi ’s gender?
Is Dr. Tirbod Todd Fattahi a sole practitioner?
Is Dr. Tirbod Todd Fattahi accepting new patients?
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Does Dr. Tirbod Todd Fattahi have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | DTP368 | FL |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | ME85119 | FL |
National Provider Identifier
| NPI | 1093780603 |
|---|---|
| Provider Name | Dr. Tirbod Todd Fattahi |
| First Address | Jacksonville, FL 32231-4008 |
| Second Address | Jacksonville, FL 32209-6511 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2006 |
| Last Update Date | 29/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000947339C | (05) | GA |
| 0752941-00 | (05) | FL |
| 2644371-00 | (05) | FL |
| H66373 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.