Individual provider · Type 1 NPI
Faraneh Khotanifar
General Practice Dentistry · Hattiesburg, MS
NPI number
1689393944
Active
Practice location
3720 Hardy St Ste 130
Hattiesburg, MS 39402-1550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 112854 (MS) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 113082 (MS) |
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 1689393944
Faraneh Khotanifar's National Provider Identifier is 1689393944, issued on Aug 22, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hattiesburg, MS. The record was last updated on Sep 21, 2026.