Provider Demographics
NPI:1295795946
Name:HADAVAND, RICHARD REZA (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:REZA
Last Name:HADAVAND
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:8901 VIRGINIA PKWY
Mailing Address - Street 2:SUITE 800
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5701
Mailing Address - Country:US
Mailing Address - Phone:972-540-2121
Mailing Address - Fax:972-540-0303
Practice Address - Street 1:8901 VIRGINIA PKWY
Practice Address - Street 2:SUITE 800
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5701
Practice Address - Country:US
Practice Address - Phone:972-540-2121
Practice Address - Fax:972-540-0303
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-26
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX197421223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics