IndividualActive
Farzad Nourollah-Zadeh
NPI 1306451695 · Oral Medicine Dentistry · Philadelphia, PA
Provider details
- NPI number
- 1306451695
- Entity type
- Individual
- Primary specialty
- Oral Medicine DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 23-1352685 (PA)
Practice location
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone: (267) 307-3827
Mailing address
105 S 41st St
Philadelphia, PA 19104-3018
Registry dates
- Enumerated
- 2020-09-13
- Last updated
- 2020-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.