Individual provider · Type 1 NPI
Connie Tara Akhavanhaidary, DDS
General Practice Dentistry · Long Beach, CA
NPI number
1043084692
Active
Practice location
5175 E Pacific Coast Hwy Ste 201
Long Beach, CA 90804-3315
Mailing address
6 Andando
Aliso Viejo, CA 92656-5292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 111994 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1043084692
Connie Tara Akhavanhaidary, DDS's National Provider Identifier is 1043084692, issued on Nov 14, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Long Beach, CA. The record was last updated on Apr 26, 2026.