Provider Demographics
NPI:1043880537
Name:TORKIAN, BEHRAD (DMD)
Entity type:Individual
Prefix:DR
First Name:BEHRAD
Middle Name:
Last Name:TORKIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:BRAD
Other - Middle Name:
Other - Last Name:TORKIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD, MSD
Mailing Address - Street 1:6335 DORCHESTER RD STE B
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-5103
Mailing Address - Country:US
Mailing Address - Phone:843-825-8280
Mailing Address - Fax:
Practice Address - Street 1:6335 DORCHESTER RD STE B
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-5103
Practice Address - Country:US
Practice Address - Phone:843-825-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN122323122300000X, 1223E0200X
SCDGD10384122300000X
CADDS108371122300000X, 1223E0200X
SCDGD.11239.DS1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist