- Practice location
- 11 Medical Park Dr, Suite 103, Pomona, NY 10970
- Phone
- 845-362-3400
- Fax
- 845-362-3495
- Last updated
- February 6, 2008
Alireza Mahyar Khavari is a Dentist based in Pomona, NY. Alireza Mahyar Khavari practices in Pomona, NY and has the professional credentials of DDS. The NPI Number for Alireza Mahyar Khavari is 1104004696 and holds a License No. 042774 (NY). The current practice location address for Alireza Mahyar Khavari is 11 Medical Park Dr, Suite 103, Pomona, NY 10970 and can be reached out via phone at 845-362-3400 and via fax at 845-362-3495.
Provider Profile Details
- NPI Number
- 1104004696
- Provider Name
- Alireza Mahyar Khavari
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11 Medical Park Dr, Suite 103, Pomona, NY 10970
- Phone Number
- 845-362-3400
- Fax Number
- 845-362-3495
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 6, 2008
- Last Update Date
- February 6, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Medical Park Dr
Suite 103
Pomona, NY 10970 - City
- Pomona
- State
- New York
- Zip
- 10970
- Phone Number
- 845-362-3400
- Fax Number
- 845-362-3495
Provider Business Mailing Address Details
- Address
- 11 Medical Park Dr
Suite 103
Pomona, NY 10970 - City
- Pomona
- State
- NY
- Zip
- 10970
- Phone Number
- 845-362-3400
- Fax Number
- 845-362-3495
License Information
- License Number
- 042774
- License State
- NY
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Pomona, NY
View all Dentists in Pomona →Frequently Asked Questions
What is the NPI number of Dr. Alireza M Khavari, DDS?
The NPI number of Dr. Alireza M Khavari, DDS is 1104004696. It was assigned on February 6, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Alireza M Khavari, DDS?
Dr. Alireza M Khavari, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 042774.
Where does Dr. Alireza M Khavari, DDS practice?
The practice location is 11 Medical Park Dr, Suite 103, Pomona, NY 10970. The office can be reached at 845-362-3400 (phone) or 845-362-3495 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104004696 directly on the NPPES registry website.