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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1053417261

Dr. Ardavan R. Kheradpir, DMD is an Oral Surgery in Fresno, California. Qualified in 2000, 26 years ago. Practices with Fresno Oral Maxillofacial Surgery and Dental Implant Center, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1903 E Fir Ave Ste 101
Fresno, CA 93720-3862
Phone: (559) 226-2722
Fax: (559) 226-6989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 52875 (CA)

Record details

NPI number1053417261
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Fresno Oral Maxillofacial Surgery And Dental Implant Center — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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