Provider Demographics
NPI:1265882963
Name:PASHA, FARHEEN SULTANA (DDS)
Entity type:Individual
Prefix:
First Name:FARHEEN
Middle Name:SULTANA
Last Name:PASHA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 WESTFIELD RD STE 220
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1628
Mailing Address - Country:US
Mailing Address - Phone:714-661-0118
Mailing Address - Fax:
Practice Address - Street 1:350 WESTFIELD RD STE 220
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1628
Practice Address - Country:US
Practice Address - Phone:317-886-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100267122300000X
IN12013471A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist