Provider Demographics
NPI:1720186018
Name:YAZDANI, NEDA (DMD)
Entity Type:Individual
Prefix:
First Name:NEDA
Middle Name:
Last Name:YAZDANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 HIGHLAND ROAD
Mailing Address - Street 2:APT # 5202
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15202
Mailing Address - Country:US
Mailing Address - Phone:412-478-1630
Mailing Address - Fax:
Practice Address - Street 1:106 TRINITY POINT DRIVE
Practice Address - Street 2:ALLCARE DENTAL
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301
Practice Address - Country:US
Practice Address - Phone:724-229-0104
Practice Address - Fax:724-229-0104
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036865122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist