Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadfar Facial Plastic Surgery LLC

Organization Otolaryngology Physician · NPI 1396636031

Shadfar Facial Plastic Surgery LLC is an Otolaryngology Physician in Edmond, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4509 Integris Pkwy Ste 350
Edmond, OK 73034-8696
Phone: (405) 534-4358
Fax: (405) 657-3896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X
Otolaryngology Physician Taxonomy 207Y00000X

Record details

NPI number1396636031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Shadfar — Manager · (405) 834-3275
NPI enumeratedJuly 11, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing address225 Nature Ln, Edmond, OK 73034-3461

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