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

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X111994 (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.