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

Individual provider Pediatric Dentistry · NPI 1396192308

Dr. Parastou Modjarrad, DMD is a Pediatric Dentistry in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
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

1775 Grand Concourse Fl 6
Bronx, NY 10453
Phone: (718) 901-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 059338-1 (NY)

Record details

NPI number1396192308
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 19, 2016
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021
Mailing address12797 Thacker Hill Ct, Herndon, VA 20171-2986

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