Provider Demographics
NPI:1043880537
Name:TORKIAN, BEHRAD (DMD)
Entity Type:Individual
Prefix:DR
First Name:BEHRAD
Middle Name:
Last Name:TORKIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:BRAD
Other - Middle Name:
Other - Last Name:TORKIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:1417 FOLLY RD STE 402
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-9737
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1417 FOLLY RD STE 402
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-9737
Practice Address - Country:US
Practice Address - Phone:843-606-6098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN122323122300000X
CADDS108371122300000X
SCDGD10384122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist