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DR. SHAHRAM FAZILAT D.D.S.
NPI 1437347457
Dentist - Pediatric Dentistry in Vancouver, WA

Active since October 04, 2007
1307 NE 78TH ST, SUITE B13, VANCOUVER, WA 98665(360) 574-0900(360) 574-6338 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shahram Fazilat D.d.s. NPPES

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

DR. SHAHRAM FAZILAT D.D.S. (NPI 1437347457) is an individual pediatric dentistry provider in Vancouver, Washington, licensed in Washington (DE00010790) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1437347457
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SHAHRAM FAZILATCredential: D.D.S.
Location Address1307 NE 78TH ST, SUITE B13Vancouver, WA 98665-9670
Mailing Address930 Nw 12th Ave, Apt#519Portland, OR 97209-3072
Phone(360) 574-0900
Fax(360) 574-6338
Sole ProprietorYes
Enumeration DateOctober 4, 2007
✔ NPI 1437347457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WA · DE00010790
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1307 NE 78TH ST, Vancouver, WA 98665
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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.Insurance ›

Other Providers at the Same Location NPPES 3

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

NW INJURY & REHAB CENTER, P.S.
Chiropractor (Rehabilitation)
1307 NE 78TH ST, SUITE 3
VANCOUVER, WA 98665
Clark County (360) 573-1933
URGENT DENTAL CARE LLC
Dentist
1307 NE 78TH ST, SUITE B13
VANCOUVER, WA 98665
Clark County (360) 574-0900
DR. ERIC CHRISTOPHER STREHLOW D.C.
Chiropractor
1307 NE 78TH ST, SUITE #3
VANCOUVER, WA 98665
Clark County (360) 573-1933

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 Fazilat's NPI number?

The NPI number for Shahram Fazilat is 1437347457. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Shahram Fazilat located?

Shahram Fazilat practices at 1307 NE 78th St Suite B13, Vancouver, WA 98665. The listed phone number is (360) 574-0900.

What is Shahram Fazilat's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Shahram Fazilat accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Shahram Fazilat 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 Shahram Fazilat was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.