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

Mona Bazazzadeh

Individual provider General Practice Dentistry · NPI 1174190631

Mona Bazazzadeh is a General Practice Dentistry in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2021

Practice location Address checks out

154 Haven Ave # 1003
New York, NY 10032-1180
Phone: (206) 712-9821
Show map & directions

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

Additional practice locations (1)

  • 154 Haven Ave # 1003, New York, NY 10032-1180 — (206) 712-9821

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401417403 (VA)

Record details

NPI number1174190631
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 4, 2021
Last updated in NPPESJune 4, 2021
Certification dateJune 4, 2021

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