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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407551401

Nastaran Moshaeinezhad, DDS is a Student in an Organized Health Care Education/Training Program in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2023.

Licensed in
SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1209 N Retail Ct
Myrtle Beach, SC 29577-9626
Phone: (843) 357-0213
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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 DGD.10596 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407551401
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 31, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

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