Provider Demographics
NPI:1437340890
Name:BAMDAD, NAVID (DDS)
Entity Type:Individual
Prefix:
First Name:NAVID
Middle Name:
Last Name:BAMDAD
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 1:16235 NE 11TH CT
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4505
Mailing Address - Country:US
Mailing Address - Phone:305-947-3439
Mailing Address - Fax:305-940-0790
Practice Address - Street 1:16235 NE 11TH CT
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4505
Practice Address - Country:US
Practice Address - Phone:305-947-3439
Practice Address - Fax:305-940-0790
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16657122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist