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

Individual provider Dentist · NPI 1225096720

Mahnaz Fatahzadeh, DMD is an Oral Surgery in Newark, New Jersey. Qualified in 1993, 33 years ago. Practices with Rutgers School of Dental Medicine, a 4-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
33
Licensed in
NJ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

110 Begern Street Nj Dental School Oral Medicine Clinic D Level Area 12
Newark, NJ 07103
Phone: (973) 972-1956
Fax: (973) 972-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DI020908 (NJ)

Record details

NPI number1225096720
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESApril 4, 2019

Medicare enrollment

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

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Rutgers School Of Dental Medicine — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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