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Shabnam Seyedzadeh Sabounchi
Orofacial Pain Dentist in Philadelphia, Pennsylvania
NPI 1306622543

Shabnam Seyedzadeh Sabounchi is a Orofacial Pain Dentist based in Philadelphia, PA and is specialized in Orofacial Pain. Shabnam Seyedzadeh Sabounchi practices in Philadelphia, PA. The NPI Number for Shabnam Seyedzadeh Sabounchi is 1306622543 and holds a License No. 0401418630 (Pennsylvania).

The current practice location address for Shabnam Seyedzadeh Sabounchi is 3223 N Broad St, Philadelphia, PA and can be reached out via phone at 215-707-2871.

Location: 3223 N Broad St, Philadelphia, PA, 19140-5007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306622543
Provider Name
Shabnam Seyedzadeh Sabounchi
Credential
Provider Entity Type
Individual
Gender
Female
Address
3223 N Broad St, Philadelphia, PA, 19140-5007
Phone Number
215-707-2871
Fax Number
Provider Enumeration Date
09/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3223 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5007
Phone Number
215-707-2871
Fax Number
person
Provider Business Mailing Address Details
Address
3223 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5007
Phone Number
215-707-2871
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
RFD000064 (Pennsylvania)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
0401418630 (Virginia)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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