IndividualActive
Siavash Omidvarnia, DDS
NPI 1699474080 · Dentist · Saint Joseph, MO
Siavash Omidvarnia, DDS is a Dentist provider in Saint Joseph, MO (NPI 1699474080).
Provider details
- NPI number
- 1699474080
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2025027656 (MO)
Practice location
3608 Faraon St
Saint Joseph, MO 64506-3044
Phone: (816) 364-6444
Street-level locationGet directions
Mailing address
3608 Faraon St
Saint Joseph, MO 64506-3044
Registry dates
- Enumerated
- 2023-02-24
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.