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Contact Information

MAHYAR MOFIDI, DMD
1480 DIXIE HWY
LOUISVILLE, KY40210
 Phone: 502-778-7414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MAHYAR MOFIDI · (Male)

NPI Number 1194900100
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/09/2008
Last updated 01/09/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 6743
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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