Atefeh Mostavi DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ATEFEH MOSTAVI DDS PLLC

Doing business as

Denna Dental

Practice address

15 Clifton Country Rd # 5
Clifton Park, NY 12065-3900

Phone

(212) 365-0487

Fax

(518) 693-1748

NPI assigned

Aug 1, 2019

Last updated

Aug 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Atefeh Mostavi, DDS

Title

Dentist

Phone

(212) 365-0487

Specialties & licenses 1

Addresses

Other names 1

• Denna Dental Doing business as

Locations

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1902451453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CLIFTON COUNTRY RD # 5",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653900",
            "telephone_number": "212-365-0487",
            "fax_number": "518-693-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CLIFTON COUNTRY RD # 5",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653900",
            "telephone_number": "212-365-0487",
            "fax_number": "518-693-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATEFEH MOSTAVI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "MOSTAVI",
        "authorized_official_first_name": "ATEFEH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-365-0487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denna Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Arras, MHC-LP
• Arthur T Davidson Jr MD PC
• Christiane Ashba, D.M.D.
• Juliann Marie Ashcroft, RPA-C
• Cheyne D. Ashline, D.C.
• Carol Atwater, PH.D.
• Audiology Endeavors, PC (Center For Hearing)
• Autism Gears LLC
• Dylan Christopher Bailey, RN
• Marissa Baker

• Dental Clinic/Center in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.