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

Dr. Shariar Shaun Daneshgar

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1104934983

Dr. Shariar Shaun Daneshgar is an Oral Surgery in Los Angeles, California. Graduated from Tufts University School of Dental Medicine in 1977, 49 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
49
Trained at
Tufts University School of Dental Medicine
Licensed in
CA
In the registry since
2006

Practice location Address checks out

6360 Wilshire Blvd Ste 403
Los Angeles, CA 90048
Phone: (323) 653-9440
Fax: (323) 653-3586
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D29996 (CA)

Record details

NPI number1104934983
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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