Individual provider · Type 1 NPI

Baharak Fooladi, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Port Jefferson Station, NY

NPI number 1407995673 Active

Practice location

8 Medical Drive
Port Jefferson Station, NY 11776

Call (631) 928-8585 Map

Fax (631) 928-8861

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X052402 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1407995673

Baharak Fooladi, DDS's National Provider Identifier is 1407995673, issued on Feb 5, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 8, 2007.