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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1174074199

Sean Moghadam is an Oral and Maxillofacial Surgery (Dentist) in Fullerton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

1620 S Harbor Blvd
Fullerton, CA 92832-3473
Phone: (714) 294-7070
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Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 107536 (CA)

Record details

NPI number1174074199
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 14, 2016
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address1620 S Harbor Blvd, Fullerton, CA 92832-3473

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