Behnaz Sharifi, DMD
Individual provider Active NPI General Practice Dentistry · Foothill Ranch, CA
NPI 1962617233 · NPPES record last updated Dec 8, 2021
Key facts
- NPI
- 1962617233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 56750 (CA)
- Practice address
- 26700 Towne Centre Dr Ste 130
Foothill Ranch, CA 92610-2843 - Phone
- (949) 581-5151
- Fax
- (949) 581-6058
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56750 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Behnaz Sharifi DMD, Inc. | General Practice | Current |
Accepting new patients |
| Panther Hollow Dental Lodge, PL | General Practice | Past | Accepting new patients |
| Panther Hollow Family Dental PA | General Practice | Past |
Accepting new patients |
Locations
26700 Towne Centre Dr
Ste 130
Foothill Ranch, CA 92610
Phone (949) 581-5151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 56750 | CA | Yes |
Addresses
Primary practice location
26700 Towne Centre Dr Ste 130
Foothill Ranch, CA 92610-2843
Mailing address
26700 Towne Centre Dr Ste 130
Foothill Ranch, CA 92610-2843
Phone (949) 581-5151
Other providers in Foothill Ranch, CA
- David Joshua Serbin
- Shafa Medical Center Inc
- Shannon M Shaffer
- Parita Vipul Shah
- Shams Sheikh, MD, Inc
- Shams F Sheikh
- Teresa E Shields-Szabo
- Elaine T Shim
- Shine Inside Nutrition LLC
- Skzand Dental
All providers in Foothill Ranch, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.