DR. EDWARD FARAJZADEH DDS NPI 1700895166

NPI Information

  • NPI: 1700895166
  • Provider Name: DR. EDWARD FARAJZADEH, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13983 MANGO DR STE 106
    DEL MAR, CA
    ZIP 92014
  • Phone: (858) 792-6662

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NPI Details

DR. Edward Farajzadeh, DDS is an oral and maxillofacial surgery dentist in Del Mar, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Edward Farajzadeh, DDS NPI is 1700895166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13983 MANGO DR STE 106
DEL MAR, CA
ZIP 92014-146
Phone: (858) 792-6662
Fax: (858) 792-0536

The NPI 1700895166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/5/2006 and was last updated on 10/17/2019.

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
1122300000XDentist33031CALIFORNIANo
21223S0112XDentistOral and Maxillofacial Surgery33031CALIFORNIAYes

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: 3/30/2025

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