Provider Demographics
NPI:1245229756
Name:ALI BADIHI, D.D.S., P.C., DBA
Entity Type:Organization
Organization Name:ALI BADIHI, D.D.S., P.C., DBA
Other - Org Name:COMFORT CARE DENTAL FLORISSANT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:BADIHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:314-921-0100
Mailing Address - Street 1:4585 WASHINGTON ST
Mailing Address - Street 2:B-1
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-5858
Mailing Address - Country:US
Mailing Address - Phone:314-921-0100
Mailing Address - Fax:314-839-3464
Practice Address - Street 1:4585 WASHINGTON ST
Practice Address - Street 2:B-1
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-5858
Practice Address - Country:US
Practice Address - Phone:314-921-0100
Practice Address - Fax:314-839-3464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO153561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty