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

Mariam Susanne Fallahzadeh, DMD

Individual provider General Practice Dentistry · NPI 1235200205

Mariam Susanne Fallahzadeh, DMD is a General Practice Dentistry in Paris, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
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

4223A Lexington Road Bourbon Family Dentistry Pllc
Paris, KY 40361
Phone: (859) 988-0308
Fax: (859) 988-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7770 (KY)

Record details

NPI number1235200205
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 8, 2007

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