NPI 1639527690 · live from the CMS NPI Registry
Nima Behazin, DMD
Dentist, General Practice in Wakefield, RI. National Provider Identifier 1639527690, active.
NPI record
| NPI | 1639527690 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 4959 Tower Hill Rd, Wakefield, RI 02879 |
| Practice phone | 401-783-1975 |
| Enumerated | June 1, 2016 |
| Last updated | November 24, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DEN03452 (RI) |
| Dentist, General Practice | 1223G0001X | 11814 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.