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SHAHRAM SHIDMAND DDS INC
NPI 1073720504
Dentist - General Practice in Fresno, CA

Active since May 16, 2007
1211 N DEL MAR AVE, FRESNO, CA 93728(559) 497-8300(559) 497-1501 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shahram Shidmand Dds Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAHRAM SHIDMAND DDS INC (NPI 1073720504) is a healthcare organization registered as a general practice in Fresno, California and active in the NPI registry since May 2007. The organization lists Sean Shidmand, President, as its authorized official.

NPPES Registry Identity

NPI1073720504
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHAHRAM SHIDMAND DDS INC
Location Address1211 N DEL MAR AVEFresno, CA 93728-1958
Mailing Address1211 N Del Mar AveFresno, CA 93728-1958 · (559) 497-8300 · Fax (559) 497-1501
Phone(559) 497-8300
Fax(559) 497-1501
Organization SubpartNo
Authorized OfficialSean ShidmandPresident · (559) 479-8300
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073720504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 48018
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1211 N DEL MAR AVE, Fresno, CA 93728
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Other Identifiers 1

MedicaidG92364-01CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIREZ & DR. URRUCHI DENTAL GROUP INC
Clinic/Center (Dental)
1211 N DEL MAR AVE
FRESNO, CA 93728
Fresno County (559) 497-8300
DEL MAR DENTAL GROUP
Dentist (General Practice)
1211 N DEL MAR AVE
FRESNO, CA 93728
Fresno County (559) 497-8300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shahram Shidmand Dds Inc's NPI number?

The NPI number for Shahram Shidmand Dds Inc is 1073720504. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Shahram Shidmand Dds Inc located?

Shahram Shidmand Dds Inc is located at 1211 N Del Mar Ave, Fresno, CA 93728. The listed phone number is (559) 497-8300.

What is Shahram Shidmand Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shahram Shidmand Dds Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.