IndividualActive
Abtin Etezadi-Tabrizi, DMD
NPI 1366601866 · Oral and Maxillofacial Surgery (Dentist) · Sioux Falls, SD
Provider details
- NPI number
- 1366601866
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D1506 (SD)
Specialties & taxonomies
Dental Providers
Practice location
1700 S Southeastern Ave
Sioux Falls, SD 57103-3227
Phone: (605) 331-5059
Fax: (605) 275-6725
Approximate (ZIP-level) locationGet directions
Mailing address
1700 S Southeastern Ave
Sioux Falls, SD 57103-3227
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.