Dr Abtin Etezadi-tabrizi, DMD in Sioux Falls, SD - Medicare Oral Surgery Provider

Dr Abtin Etezadi-tabrizi, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Sioux Falls, South Dakota. He went to Medical College Of Georgia School Of Medicine and graduated in 2008 and has 18 years of diverse experience with area of expertise as Oral Surgery. His current practice location is 1700 S Southeastern Ave, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 331-5059.

Dr Abtin Etezadi-tabrizi is licensed to practice in South Dakota (license number D1506) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1366601866.

Contact Information

	Dr Abtin Etezadi-tabrizi, DMD
	1700 S Southeastern Ave, Sioux Falls, SD 57103-3227
	(605) 331-5059
	(605) 275-6725

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Abtin Etezadi-tabrizi
Gender	Male
Speciality	Oral Surgery
Experience	18 Years
Location	1700 S Southeastern Ave, Sioux Falls, South Dakota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Abtin Etezadi-tabrizi attended and graduated from Medical College Of Georgia School Of Medicine in 2008

NPI Data:

NPI Number: 1366601866
Provider Enumeration Date: 06/09/2008
Last Update Date: 04/14/2026

Medicare PECOS Information:

PECOS PAC ID: 6406003060
Enrollment ID: I20120904000653

Medical Identifiers

Medical identifiers for Dr Abtin Etezadi-tabrizi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366601866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	D1506 (South Dakota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Abtin Etezadi-tabrizi allows following entities to bill medicare on his behalf.

Entity Name	Atlanta Oral & Facial Surgery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992738165 PECOS PAC ID: 8628062387 Enrollment ID: O20040414000589

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Abtin Etezadi-tabrizi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Abtin Etezadi-tabrizi, DMD 1700 S Southeastern Ave, Sioux Falls, SD 57103-3227 Ph: (605) 331-5059	Dr Abtin Etezadi-tabrizi, DMD 1700 S Southeastern Ave, Sioux Falls, SD 57103-3227 Ph: (605) 331-5059

Reviews and Comments

Dentist in Sioux Falls, SD

Dr. James Lambert Sigaty, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1717 S Cleveland Ave, Sioux Falls, SD 57103 Phone: 605-338-1212
Dr. Anne Elizabeth Wiseman, D.D.S., M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5110 W 26th St, Sioux Falls, SD 57106 Phone: 605-205-1055 Fax: 605-610-3571
Dr. Haley L Rozeboom, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4921 E 26th St Ste 1, Sioux Falls, SD 57110 Phone: 160-537-1344 Fax: 605-371-3445
Dr. Jb Skibinski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3813 S Kiwanis Cir, Sioux Falls, SD 57105 Phone: 605-332-1095 Fax: 605-335-7618
Roy A Seaverson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3218 S Norton Ave, Sioux Falls, SD 57105 Phone: 605-336-1388 Fax: 605-332-9216
Dr. Hannah Grace Deery, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5120 S Cliff Ave, Sioux Falls, SD 57108 Phone: 605-334-2607
Dr. Tara Elizabeth Boomsma, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2308 S Westlake Dr, Sioux Falls, SD 57106 Phone: 605-271-4422

Dr Abtin Etezadi-tabrizi, DMD - Medicare Dentist in Sioux Falls, SD