Provider Demographics
NPI:1174633697
Name:SAFFARI, BAHMAN K (DDS)
Entity Type:Individual
Prefix:
First Name:BAHMAN
Middle Name:K
Last Name:SAFFARI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8527 W BELLFORT ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2207
Mailing Address - Country:US
Mailing Address - Phone:713-777-9100
Mailing Address - Fax:713-777-9101
Practice Address - Street 1:8527 W BELLFORT ST
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2207
Practice Address - Country:US
Practice Address - Phone:713-777-9100
Practice Address - Fax:713-777-9101
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX179951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice