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

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1174352363

Shahin Setoudehmaram is an Orthodontics and Dentofacial Orthopedics Dentistry in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

14207 Coit Rd Ste 112
Dallas, TX 75254-2839
Phone: (888) 676-2327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 40915 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174352363
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 29, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address200 Spring Garden St Unit 610, Philadelphia, PA 19123-3839

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