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.
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)
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
- Taxonomies
- Dentist (122300000X), Student In An Organized Health Care Education/Training Program (390200000X)