National Provider Identifier
Ava Khatibshahidi
Ava Khatibshahidi is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Buffalo, NY and a listed phone number of (716) 898-1736.
Profile Overview
- NPI
- 1619656998
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- July 14, 2023
- Last Updated
- July 22, 2025
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-1736
Mailing Address
- 18 Kenaston Gdns
- Unit 1304
- North York, Ontario 237
- CA
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1619656998
- Entity Type
- Individual
- Last Name
- Khatibshahidi
- First Name
- Ava
- Name Prefix
- Mrs.
- Mailing Street Address
- 18 Kenaston Gdns
- Mailing Address Line 2
- Unit 1304
- Mailing City
- North York
- Mailing State
- Ontario
- Mailing ZIP Code
- 237
- Mailing Country
- CA
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-1736
- Enumeration Date
- July 14, 2023
- Last Updated
- July 22, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 22, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)