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

Seyed Heshmat Mortazavi, DMD

Individual provider Dentist · NPI 1902833973

Seyed Heshmat Mortazavi, DMD is a Dentist in Gallup, New Mexico. Licensed in New Mexico and Washington. Registered with an NPI since 2006.

Licensed in
NM, WA
In the registry since
2006
Specialties on file
2
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

516 E Nizhoni Blvd
Gallup, NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DD2342 (NM)
Dentist Taxonomy 122300000X · Licence DE00007118 (WA)

Record details

NPI number1902833973
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESApril 11, 2008

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