Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nima Ghorbani Moghaddam

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1104741149

Nima Ghorbani Moghaddam practises Orthodontics and Dentofacial Orthopedics Dentistry in Lexington, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026
Specialties on file
2

Practice location Address checks out

203 N Lake Dr
Lexington, SC 29072-2833
Phone: (803) 520-3110
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11559 (SC)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 11559 (SC)

Record details

NPI number1104741149
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2026
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026

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