National Provider Identifier

Pakhshan Ghaderi, DDS

Pakhshan Ghaderi, DDS is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 275-9801.

NPI 1619339611Rochester, NYDentist

Source: public NPPES record, last updated July 21, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1619339611
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
March 28, 2016
Last Updated
July 21, 2022

Practice Location

  • 625 Elmwood Ave
  • Rochester, NY 14620-2913

Phone: (585) 275-9801

Mailing Address

  • 630 W 170Th St Apt 4C
  • New York, NY 10032-3505

Specialties

  • Dentist (122300000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)

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Full Record
NPI
1619339611
Entity Type
Individual
Last Name
Ghaderi
First Name
Pakhshan
Credential
DDS
Mailing Street Address
630 W 170Th St Apt 4C
Mailing City
New York
Mailing State
NY
Mailing ZIP Code
10032-3505
Mailing Country
US
Mailing Phone
(347) 884-4472
Practice Street Address
625 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2913
Practice Country
US
Practice Phone
(585) 275-9801
Practice Fax
(585) 276-1244
Enumeration Date
March 28, 2016
Last Updated
July 21, 2022
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)