Provider Demographics
NPI:1477986073
Name:RASHEDI, BEHNOUSH (DMD, MS, MSED)
Entity Type:Individual
Prefix:DR
First Name:BEHNOUSH
Middle Name:
Last Name:RASHEDI
Suffix:
Gender:F
Credentials:DMD, MS, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POBOX 1059
Mailing Address - Street 2:405 HIGHLAND AVE
Mailing Address - City:OAKS
Mailing Address - State:PA
Mailing Address - Zip Code:19456
Mailing Address - Country:US
Mailing Address - Phone:610-666-0101
Mailing Address - Fax:484-341-1300
Practice Address - Street 1:405 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:OAKS
Practice Address - State:PA
Practice Address - Zip Code:19456
Practice Address - Country:US
Practice Address - Phone:610-666-0101
Practice Address - Fax:484-341-1300
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031594L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1932302874OtherBUSINESS NPI NUMBER IS FOR OAKS DENTAL SPECIALISTS LLC