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PEJMAN KHOSRAVIAN P.C NPI 1669739819


NPI Information

NPI: 1669739819
Provider Name: PEJMAN KHOSRAVIAN P.C

Doing Business As: SAN MARCOS ROOT CANAL SPECIALISTS

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
1920 CORPORATE DR # 107A
SAN MARCOS, TX
ZIP 78666
Phone: (512) 722-6338
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PEJMAN KHOSRAVIAN P.C is an endodontics dentist in San Marcos, TX. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. PEJMAN KHOSRAVIAN P.C NPI is 1669739819. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As San Marcos Root Canal Specialists.

The provider's business location address is:

1920 CORPORATE DR # 107A
SAN MARCOS, TX
ZIP 78666-077
Phone: (512) 722-6338

The provider's authorized official is Pejman Khosravian .
The authorized official title is Owner and has the following contact phone number (512) 722-6338.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 4/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics25269TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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