Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA DERAKHSHANDEH, DMD
ActiveTARA DERAKHSHANDEH, DMD is a Dentist healthcare provider located in PALM BAY, Florida. NPI 1609353713 is currently active in the NPPES registry. Verify at CMS.
Dentist · PALM BAY, FL
Registration Details
- NPI Number
- 1609353713
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2018 (7.885312821103 yrs)
- Last Updated
- Aug 2, 2018
- License
-
DN23654 (FL)
Practice Information
- Address
-
3590 BAYSIDE LAKES BLVD SEPALM BAY, FL, 32909Browse FL providers · Browse ZIP 32909
- Phone
- 3219840044
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PALM BAY, FL
| Name | Credential | NPI |
|---|---|---|
| DR. SYED Z QUADRI | D.M.D. | 1063487155 |
| ATM N AMIN | BDS | 1154439628 |
| DR. WASIM MICHAEL ASSAF | D.D.S. | 1518048065 |
| LILIANA MERCEDES MARSHALL | DMD | 1013093491 |
| DR. HENRY L MASON III | DMD | 1588725816 |
| DR. DIANE PATRICE JONES | D.M.D. | 1699893651 |
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.