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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851753156

Maryam Mahdavi, DMD is a Student in an Organized Health Care Education/Training Program in Valley Stream, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2
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

978 Rockaway Ave
Valley Stream, NY 11581-2136
Phone: (617) 909-6118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 060887-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851753156
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 25, 2016
Last updated in NPPESOctober 22, 2021
Certification dateOctober 22, 2021

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