Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PANTEA TAVAKOLI-KHAZRAEE, DDS
ActiveDR. PANTEA TAVAKOLI-KHAZRAEE, DDS is a Dentist healthcare provider located in PORT ORANGE, Florida. NPI 1033229091 is currently active in the NPPES registry. Verify at CMS.
Dentist · PORT ORANGE, FL
Registration Details
- NPI Number
- 1033229091
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.916864955002 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN13936 (FL)
Practice Information
- Address
-
900 N SWALLOW TAIL DRSUITE 103PORT ORANGE, FL, 32129Browse FL providers · Browse ZIP 32129
- Phone
- 3867885000
- Fax
- 3867885001
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PORT ORANGE, FL
| Name | Credential | NPI |
|---|---|---|
| HARVINDER S CHADDA | B DS | 1396812939 |
| DR. JOHN MICHAEL PANCZYSZYN | D.D.S. | 1629113543 |
| DR. JOSEPH VALENZI | D.M.D. | 1851512420 |
| DR. KENNETH LEE STAUDT JR. | DDS MPH | 1225258270 |
| DR. CHRISTIE JEAN LATULIPPE | D.M.D. | 1154542397 |
| DR. NELLY GUIRGIS HADDAD | DMD | 1093916819 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.