Wellformed AI

NPI 1700498821 · live from the CMS NPI Registry

Behnoush Bakhtiari

Dentist, Orthodontics and Dentofacial Orthopedics in Plano, TX. National Provider Identifier 1700498821, active.

NPI record

NPI1700498821 Type 1 · individual
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location3821 Parkmont Dr, Plano, TX 75023
Practice phone760-799-8496
EnumeratedAugust 19, 2020
Last updatedJanuary 30, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist122300000X7645 (NE)
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X40176 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.