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MEHRDAD SOHEILIMOGHADAM
NPI 1124414867
Dentist - Periodontics in North Wales, PA

Active since April 09, 2015
132 WILDER WAY, NORTH WALES, PA 19454(310) 760-6042 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mehrdad Soheilimoghadam NPPES

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

MEHRDAD SOHEILIMOGHADAM (NPI 1124414867) is an individual periodontics provider in North Wales, Pennsylvania, licensed in Virginia (0401414790) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1124414867
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMEHRDAD SOHEILIMOGHADAM
Location Address132 WILDER WAYNorth Wales, PA 19454-1532
Mailing Address132 Wilder WayNorth Wales, PA 19454-1532 · (310) 760-6042
Phone(310) 760-6042
Sole ProprietorYes
Enumeration DateApril 9, 2015
✔ NPI 1124414867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in VA · 0401414790
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License 0401414790 (VA)
132 WILDER WAY, North Wales, PA 19454
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Mehrdad Soheilimoghadam's NPI number?

The NPI number for Mehrdad Soheilimoghadam is 1124414867. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Mehrdad Soheilimoghadam located?

Mehrdad Soheilimoghadam practices at 132 Wilder Way, North Wales, PA 19454. The listed phone number is (310) 760-6042.

What is Mehrdad Soheilimoghadam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Mehrdad Soheilimoghadam accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list Mehrdad Soheilimoghadam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mehrdad Soheilimoghadam was last updated on April 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.