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MONA BAZAZZADEH
NPI 1174190631
Dentist - General Practice in New York, NY

Active since June 04, 2021
154 HAVEN AVE # 1003, NEW YORK, NY 10032(206) 712-9821 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mona Bazazzadeh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONA BAZAZZADEH (NPI 1174190631) is an individual general practice provider in New York, New York, licensed in Virginia (0401417403) and active in the NPI registry since June 2021. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1174190631
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMONA BAZAZZADEH
Location Address154 HAVEN AVE # 1003New York, NY 10032-1180
Mailing Address154 Haven Ave # 1003New York, NY 10032-1180 · (206) 712-9821
Phone(206) 712-9821
Sole ProprietorYes
Enumeration DateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1174190631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401417403
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
154 HAVEN AVE # 1003, New York, NY 10032
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Secondary Practice Location 1

Location 1154 Haven Ave # 1003New York, NY 10032-1180 · Phone (206) 712-9821

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mona Bazazzadeh's NPI number?

The NPI number for Mona Bazazzadeh is 1174190631. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Mona Bazazzadeh located?

Mona Bazazzadeh practices at 154 Haven Ave # 1003, New York, NY 10032. The listed phone number is (206) 712-9821.

What is Mona Bazazzadeh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mona Bazazzadeh accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Mona Bazazzadeh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mona Bazazzadeh was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.