Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457883019 Individual Practitioner Male Practitioner

Amir Mostatabzadeh

Dentist - General Practice • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Amir Mostatabzadeh is a registered healthcare professional specializing in Dentist - General Practice in Brandon, FL. Practice services are available at 2119 W BRANDON BLVD STE F under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2119 W Brandon Blvd Ste F

Brandon, FL 335114731

Telephone 2394055592

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brandon, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
65 Specialists

Practicing in Brandon, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 22889

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2337 Sw Archer Rd Apt 2054

Gainesville, FL 326081047

Phone: 2394055592

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Liliana Ortiz Valle , DDS

Dentist - General Practice

NPI 1326732249

Doctor of Dental Surgery

James Estes , RDH

Dental Hygienist

NPI 1639774466

Registered Dental Hygienist

Dr. Shivani Butala , DDS

Dentist - General Practice

NPI 1770229007

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 29, 2019

Registered at 2119 W BRANDON BLVD STE F, BRANDON, FL 335114731 (Tel: 2394055592)

📍
Updated Business Mailing Address June 29, 2019

Registered at 2119 W BRANDON BLVD STE F, BRANDON, FL 335114731 (Tel: 2394055592)

NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2017

Registered at 2337 SW ARCHER RD APT 2054, GAINESVILLE, FL 326081047 (Tel: 2394055592)

📍
Updated Business Mailing Address March 31, 2017

Registered at 2337 SW ARCHER RD APT 2054, GAINESVILLE, FL 326081047 (Tel: 2394055592)

👤
Provider Name / Credentials Updated March 31, 2017

Recorded as AMIR MOSTATABZADEH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 31, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457883019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2017
Last Update: June 29, 2019
Sole Proprietor: Yes

Mailing Address

2119 W Brandon Blvd Ste F

Brandon, FL 335114731

Phone: 2394055592

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.