Provider Demographics
NPI:1275622581
Name:HADIAN, NAVID H (DMD)
Entity Type:Individual
Prefix:
First Name:NAVID
Middle Name:H
Last Name:HADIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:979 BROOKSIDE RD
Mailing Address - Street 2:
Mailing Address - City:WESCOSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9441
Mailing Address - Country:US
Mailing Address - Phone:610-395-1630
Mailing Address - Fax:610-395-9117
Practice Address - Street 1:979 BROOKSIDE RD
Practice Address - Street 2:
Practice Address - City:WESCOSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18106-9441
Practice Address - Country:US
Practice Address - Phone:610-395-1630
Practice Address - Fax:610-395-9117
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029302L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist