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DR. SHAHRDAD KAZERANI D.M.D, M.S.
NPI 1306206966
Dentist - Periodontics in Lincoln Park, MI

Active since February 25, 2016
3830 FORT ST, LINCOLN PARK, MI 48146(313) 383-6800 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2019, Nov 27, 2019, Jun 17, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Shahrdad Kazerani D.m.d, M.s. NPPES

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

DR. SHAHRDAD KAZERANI D.M.D, M.S. (NPI 1306206966) is an individual periodontics provider in Lincoln Park, Michigan, licensed in Michigan (2901600288) and active in the NPI registry since February 2016. He maintains a secondary practice location in Waterford.

NPPES Registry Identity

NPI1306206966
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SHAHRDAD KAZERANICredential: D.M.D, M.S.
Location Address3830 FORT STLincoln Park, MI 48146-4107
Mailing Address1909 Fern StRoyal Oak, MI 48073-4185 · (408) 239-6876
Phone(313) 383-6800
Sole ProprietorNo
Enumeration DateFebruary 25, 2016
Last NPPES UpdateDecember 6, 20196 updates tracked since enumeration
✔ NPI 1306206966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MI · 2901600288
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3830 FORT ST, Lincoln Park, MI 48146
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Secondary Practice Location 1

Location 12759 Elizabeth Lake RdWaterford, MI 48328-3291 · Phone (486) 814-4702

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

A1 FAMILY DENTISTRY OF LICOLN PARK,PLC
Dentist (General Practice)
3830 FORT ST
LINCOLN PARK, MI 48146
Wayne County (586) 226-0638
DR. JONATHAN BLAKE GERSTEIN D.D.S.
Dentist (General Practice)
3830 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 383-6800
SARAH ALNAIMI DDS
Dentist
3830 FORT ST
LINCOLN PARK, MI 48146
Wayne County (734) 272-9014
LAWRENCE MARK GERSTEIN D.D.S.
Dentist (General Practice)
3830 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 383-6800

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 Shahrdad Kazerani's NPI number?

The NPI number for Shahrdad Kazerani is 1306206966. It was assigned to this individual provider in the NPPES registry on February 25, 2016.

Where is Shahrdad Kazerani located?

Shahrdad Kazerani practices at 3830 Fort St, Lincoln Park, MI 48146. The listed phone number is (313) 383-6800.

What is Shahrdad Kazerani's specialty?

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

What insurance does Shahrdad Kazerani accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Shahrdad Kazerani 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 Shahrdad Kazerani was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.