DR. DELARAM SADAT AGHILI MEHRIZI (NPI# 1760910657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760910657 |
| Entity Type | Individual |
| Full Name | DR. DELARAM SADAT AGHILI MEHRIZI |
| Credential | DMD |
| Practice Address |
75 Sherry Ave Park Falls WI 54552-1468 |
| Practice Telephone | 7157620200 |
| Mailing Telephone | 7157620200 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2019-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 34749 | TX | Dental Providers |
| N | 122300000X | Dentist | 102361 | CA | Dental Providers |
| N | 122300000X | Dentist | DS041484 | PA | Dental Providers |
| N | 122300000X | Dentist | DEN.00203335 | CO | Dental Providers |
| N | 122300000X | Dentist | 10457477-9921 | UT | Dental Providers |
| N | 122300000X | Dentist | 019.031433 | IL | Dental Providers |
| N | 122300000X | Dentist | 1001706-15 | WI | Dental Providers |
| Street Address |
75 SHERRY AVE |
| City | PARK FALLS |
| State | WI |
| Zip Code | 54552-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770710725 | Tennille H. Penn | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2009-06-17 |
| 1689200925 | Shaina Zhao | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2020-03-18 |
| 1093368904 | Gina Georgeann Hansen | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2019-07-19 |
| 1891141933 | Heather Nicole Nancy Schake Moellers | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2016-05-08 |
| 1023378171 | Eric M Peters | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2012-05-23 |
| 1386922870 | Tyler H. Berkey | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2011-08-01 |
| 1417278292 | Koua Xiong | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891178794 | Diana Jane Elizabeth Doyle | Dentist | 244 Division St, Park Falls, WI 54552 | 2015-07-09 |
| 1285811513 | Jenna May Peterson | Hearing Instrument Specialist | 698 4th Ave S, Park Falls, WI 54552 | 2008-01-29 |
| 1164609038 | Dennis Jerome Beyer | Hearing Instrument Specialist | 177 Division St, Miracle Ear, Park Falls, WI 54552 | 2008-01-23 |
| 1649459348 | Chequamegon School District | Local Education Agency (LEA) | 420 9th St N, Park Falls, WI 54552 | 2007-10-30 |
| 1265517593 | Daniel L Marsh | Dentist | 1001 N First Avenue, Park Falls, WI 54552 | 2006-10-26 |
| 1376071787 | Cassy Susan Pydo | Physician Assistant | 50 Sherry Ave, Park Falls, WI 54552 | 2017-05-30 |
| 1689089112 | Raj Purshotam Hiranandani | Internal Medicine | 50 Sherry Ave, Park Falls, WI 54552 | 2014-06-23 |
| 1417057175 | Edward J Struwe | Nurse Practitioner | 50 Sherry Ave, Park Falls, WI 54552 | 2006-09-23 |
| 1316041676 | Louay O Danial | Family Medicine | 50 Sherry Ave, Park Falls, WI 54552 | 2006-09-08 |
| 1912014283 | Dean W Funk | Family Medicine | 50 Sherry Ave, Park Falls, WI 54552 | 2006-08-24 |
| Find all providers in zip 54552 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770710725 | Tennille H. Penn | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2009-06-17 |
| 1265517593 | Daniel L Marsh | Dentist | 1001 N First Avenue, Park Falls, WI 54552 | 2006-10-26 |
| 1689200925 | Shaina Zhao | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2020-03-18 |
| 1417470352 | Bryn Boswell | Dentist | 370 3rd Ave S, Park Falls, WI 54552-1228 | 2017-07-23 |
| 1891141933 | Heather Nicole Nancy Schake Moellers | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2016-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | PARK FALLS |
| Zip Code | 54552 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.