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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BEHNAM FAKHRAVAR, DMD, MS

Active Sole Proprietor

DR. BEHNAM FAKHRAVAR, DMD, MS is a Periodontology healthcare provider located in VANCOUVER, Washington. NPI 1700164969 is currently active in the NPPES registry. Verify at CMS.

Periodontology · VANCOUVER, WA

Registration Details

NPI Number
1700164969
Provider Type
Individual
Gender
Male
NPI Issued
Jul 21, 2011 (15.029918153678 yrs)
Last Updated
Feb 20, 2020
Licenses
DDS61887 (CA)
1001779 (WI)
28573 (TX)
D9565 (OR)
DE60231686 (WA)
Sole Proprietor
Yes

Practice Information

Address
322 SE 192ND AVE STE 100
VANCOUVER, WA, 986839679
Browse WA providers · Browse ZIP 98683
Phone
2193609587
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Periodontology
Additional Specialty
Periodontology
Additional Specialty
Periodontology

Other Periodontology Providers in VANCOUVER, WA

Name Credential NPI
DR. STEVEN DAVID HOKETT D.D.S. 1154417491
DR. MUNIB Y. DERHALLI D.M.D. 1538239728
DR. MELISSA GRANT D.M.D. 1003936501
DR. JEREMY HOWARD DIEHL D.D.S., M.S.D. 1023248291
MIKHAIL GARIBOV DDS, MSD 1376944314
JING IRIS YANG DMD 1942870183
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.