Provider Demographics
NPI:1811042211
Name:ASHA & ARDESHIR DENTISTRY LTD
Entity Type:Organization
Organization Name:ASHA & ARDESHIR DENTISTRY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARDESHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:DABESTANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:623-915-4800
Mailing Address - Street 1:16816 N 35TH AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-2977
Mailing Address - Country:US
Mailing Address - Phone:623-915-4800
Mailing Address - Fax:623-915-5084
Practice Address - Street 1:16816 N 35TH AVE STE 9
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-2977
Practice Address - Country:US
Practice Address - Phone:623-915-4800
Practice Address - Fax:623-915-5084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ50491223G0001X
AZ51301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty