Javdan Dental Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

JAVDAN DENTAL INC.

Practice address

3927 Waring Rd Ste E
Oceanside, CA 92056-4458

Phone

(760) 295-6475

Fax

(760) 295-6480

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Behdad Javdan, DDSNPI 1104276765

Title

President

Phone

(310) 403-3479

Specialties & licenses 1

Addresses

Other names 1

• North County Periodontics & Implant Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Behdad Javdan, D.D.S.

  • Periodontics
  • Sacramento, CA
  • NPI 1104276765
  NPD Authorized official

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1790559797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 DIAMOND PARK LN",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 WARING RD STE E",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564458",
            "telephone_number": "760-295-6475",
            "fax_number": "760-295-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVDAN DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "JAVDAN",
        "authorized_official_first_name": "BEHDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-403-3479",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Periodontics & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenton Janzen
• Amar R Jariwala, MD MSPH
• Rachael Marie Jarrell, APCC, LAADC
• Jasia Care Home
• Monica Jauregui, DPT
• Tina Marie Jaworski
• Jbi Wellness, LLC
• Kam Jebreil, DMD
• Sarah Jebreil, DDS
• Jenavieve Donnelly Counseling Services LLC

• Periodontics in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.