Provider Demographics
NPI:1649318262
Name:NAGHAVI, NONA (DDS)
Entity type:Individual
Prefix:DR
First Name:NONA
Middle Name:
Last Name:NAGHAVI
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 1:1994 E SUNRISE BLVD UNIT 4A
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-1462
Mailing Address - Country:US
Mailing Address - Phone:301-922-2665
Mailing Address - Fax:
Practice Address - Street 1:20505 S DIXIE HWY STE 1683
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1226
Practice Address - Country:US
Practice Address - Phone:305-232-3737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN199151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty