HOOMAN ABDOLISERESHKI DDS
NPI 1619369279
Dentist in Plymouth, WI

Q: What is Hooman Abdolisereshki's NPI number?

The NPI number for Hooman Abdolisereshki is 1619369279. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Q: What is Hooman Abdolisereshki's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 19, 2015

62 S PLEASANT VIEW RD # A, PLYMOUTH, WI 53073(920) 892-8466(847) 496-4850 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2019, Nov 9, 2019, Oct 12, 2016 (3 updates tracked since 2016).

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About Hooman Abdolisereshki Dds NPPES

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

HOOMAN ABDOLISERESHKI DDS (NPI 1619369279) is an individual dentist in Plymouth, Wisconsin, licensed in Wisconsin (019030108) and active in the NPI registry since February 2015. He maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1619369279

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameHOOMAN ABDOLISERESHKICredential: DDS

Location Address62 S PLEASANT VIEW RD # APlymouth, WI 53073-4954

Mailing Address62 S Pleasant View Rd # APlymouth, WI 53073-4954 · (920) 892-8466 · Fax (847) 496-4850

Phone(920) 892-8466

Fax(847) 496-4850

Sole ProprietorYes

Enumeration DateFebruary 19, 2015

Last NPPES UpdateNovember 19, 20193 updates tracked since enumeration

✔ NPI 1619369279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WI · 019030108

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

62 S PLEASANT VIEW RD # A, Plymouth, WI 53073

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Secondary Practice Location 1

Location 11931 Main StGreen Bay, WI 54302-3920 · Phone (847) 701-1457 ext. 3510 · Fax (847) 496-4850

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 ›

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 Hooman Abdolisereshki's NPI number?

The NPI number for Hooman Abdolisereshki is 1619369279. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Hooman Abdolisereshki located?

Hooman Abdolisereshki practices at 62 S Pleasant View Rd # A, Plymouth, WI 53073. The listed phone number is (920) 892-8466.

What is Hooman Abdolisereshki's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Hooman Abdolisereshki 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 Hooman Abdolisereshki 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 Hooman Abdolisereshki was last updated on November 19, 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.