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

Dr. Yakov Khaydatov, DMD

Individual provider Dentist · NPI 1023249448

Dr. Yakov Khaydatov, DMD is a Dentist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
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

5225 N 19th Ave Ste C
Phoenix, AZ 85015-2903
Phone: (602) 433-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7845 (AZ)

Record details

NPI number1023249448
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 3, 2009
Last updated in NPPESDecember 3, 2009
Mailing address110 E Joan D Arc Ave, Phoenix, AZ 85022-4705

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