Individual provider · Type 1 NPI

Ava Khatibshahidi

General Practice Dentistry · Buffalo, NY

NPI number 1619656998 Active

Practice location

462 Grider St
Buffalo, NY 14215-3021

Call (716) 898-1736 Map

Mailing address

18 Kenaston Gdns, Unit 1304
North York, ONTARIO M2K3C7

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X064679 (NY)

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 1619656998

Ava Khatibshahidi's National Provider Identifier is 1619656998, issued on Jul 14, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Buffalo, NY. The record was last updated on Jul 22, 2025.