Behnaz Yalda DMD PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11363 Issued in MD

Legal business name

BEHNAZ YALDA DMD PC

Practice address

803 Russell Ave
Suite 3a
Gaithersburg, MD 20879-3584

Phone

(301) 926-0691

NPI assigned

Jan 6, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Behnaz Yalda

Title

President

Phone

(301) 926-0691

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1104282201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 RUSSELL AVE",
            "address_2": "SUITE 3A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793584",
            "telephone_number": "301-926-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 RUSSELL AVE",
            "address_2": "SUITE 3A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793584",
            "telephone_number": "301-926-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHNAZ YALDA DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "YALDA",
        "authorized_official_first_name": "BEHNAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-926-0691",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "11363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert C Becker, MSW
• Eudora Beckley
• Eric F Becoin
• Kelly Hunter Bedell, LCSW-C
• Kelly Beecher
• Farahnaz Behrooziesfahani
• Anita Kishin Belani, DDS
• Jeanne J Bell, HHA
• Ludovic A Bell, HHA
• Yaa Bempa-Boateng, PHD, LMSW

• Periodontics in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.