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Dr. Shahrdad Kazerani, DMD,MS
Periodontist in Lincoln Park, Michigan
NPI 1306206966

Shahrdad Kazerani is a Periodontist based in Royal Oak, MI and is specialized in Periodontics. Shahrdad Kazerani practices in Lincoln Park, MI and has the professional credentials of DMD,MS. The NPI Number for Shahrdad Kazerani is 1306206966 and holds a License No. (Michigan).

The current practice location address for Shahrdad Kazerani is 3830 Fort St, Lincoln Park, MI and can be reached out via phone at 313-383-6800.

Location: 3830 Fort St, Lincoln Park, MI, 48073-4185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306206966
Provider Name
Shahrdad Kazerani
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Male
Address
3830 Fort St, Lincoln Park, MI, 48073-4185
Phone Number
313-383-6800
Fax Number
Provider Enumeration Date
02/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3830 Fort St
City
Lincoln Park
State
Michigan
Zip
48146-4107
Phone Number
313-383-6800
Fax Number
person
Provider Business Mailing Address Details
Address
3830 Fort St
City
Lincoln Park
State
Michigan
Zip
48146-4107
Phone Number
313-383-6800
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
2901600288 (Michigan)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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