Individual provider · Type 1 NPI

Maryam Mahdavi, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Valley Stream, NY

NPI number 1851753156 Active

Practice location

978 Rockaway Ave
Valley Stream, NY 11581-2136

Mailing address

80 Fairview Ave
Belmont, MA 02478-3766

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X060887-01 (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 1851753156

Maryam Mahdavi, DMD's National Provider Identifier is 1851753156, issued on Mar 25, 2016. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Valley Stream, NY. The record was last updated on Oct 22, 2021.