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

Mrs. Ava Khatibshahidi

Individual provider General Practice Dentistry · NPI 1619656998

Mrs. Ava Khatibshahidi is a General Practice Dentistry in Buffalo, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

462 Grider St
Buffalo, NY 14215-3021
Phone: (716) 898-1736
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 064679 (NY)

Record details

NPI number1619656998
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2023
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

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