Provider Demographics
NPI:1326787227
Name:ROHANI, NAVID (DMD)
Entity Type:Individual
Prefix:
First Name:NAVID
Middle Name:
Last Name:ROHANI
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 1:523 AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-2113
Mailing Address - Country:US
Mailing Address - Phone:207-713-3199
Mailing Address - Fax:
Practice Address - Street 1:366 SALEM ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-3307
Practice Address - Country:US
Practice Address - Phone:781-395-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122400000XDental ProvidersDenturist