Active NPIIndividual providerSole proprietor

Dr. Faraz Tartibi, DMD

Dentist, Pediatric Dentistry in Clermont, Florida

NPI Number1639520794
Practice location
1655 E Hwy 50 Ste 101, Clermont, FL 34711
Fax
—
Last updated
February 22, 2019

Faraz Tartibi is a Dentist, Pediatric Dentistry based in Clermont, FL. Faraz Tartibi practices in Clermont, FL and has the professional credentials of DMD. The NPI Number for Faraz Tartibi is 1639520794 and holds a License No. dn23577 (FL). The current practice location address for Faraz Tartibi is 1655 E Hwy 50 Ste 101, Clermont, FL 34711 and can be reached out via phone at 407-205-1114.

Provider Profile Details

NPI Number
1639520794
Provider Name
Faraz Tartibi
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1655 E Hwy 50 Ste 101, Clermont, FL 34711
Phone Number
407-205-1114
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
June 29, 2016
Last Update Date
February 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1655 E Hwy 50 Ste 101
Clermont, FL 34711
State
Florida
Zip
34711
Phone Number
407-205-1114
Clermont, FL 34711Get directions →

Provider Business Mailing Address Details

Address
1655 E Hwy 50 Ste 101
Clermont, FL 34711-5056
City
Clermont
State
FL
Zip
34711-5056
Phone Number
407-205-1114
Fax Number
407-845-9347

License Information

License Number
dn23577
License State
FL
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Faraz Tartibi, DMD?

The NPI number of Dr. Faraz Tartibi, DMD is 1639520794. It was assigned on June 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Faraz Tartibi, DMD?

Dr. Faraz Tartibi, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in FL under license number dn23577.

Where does Dr. Faraz Tartibi, DMD practice?

The practice location is 1655 E Hwy 50 Ste 101, Clermont, FL 34711. The office can be reached at 407-205-1114 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639520794 directly on the NPPES registry website.

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