IndividualActive
Iraj Shafagh, DMD,MSC
NPI 1043436579 · Prosthodontics · Havertown, PA
Provider details
- NPI number
- 1043436579
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD,MSC
- Sex
- Male
- Sole proprietor
- Yes
- License
- DS-019264-L (PA)
Specialties & taxonomies
Dental Providers
Practice location
1305 West Chester Pike
Suite C
Havertown, PA 19083-2935
Phone: (610) 446-6688
Fax: (610) 446-6844
Approximate (ZIP-level) locationGet directions
Mailing address
1305 W Chester Pike
Havertown, PA 19083-2929
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.