Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roozbeh Khosravi DMD PHD LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1962913509

Roozbeh Khosravi DMD PHD LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Sammamish, Washington. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

22620 SE 4th St Ste 210
Sammamish, WA 98074-7375
Phone: (425) 526-2060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14655 Ne Bel Red Rd # F103, Bellevue, WA 98007-3900 — (425) 526-2060

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1962913509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roozbeh Khosravi — Orthodontist · (617) 466-9090
Other names Porth
NPI enumeratedOctober 23, 2017
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020
Mailing address22620 Se 4th St Ste 210, Sammamish, WA 98074-7375

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