Provider Demographics
NPI:1669364519
Name:NAJAFABADIPOOR, NAVA (DMD)
Entity type:Individual
Prefix:
First Name:NAVA
Middle Name:
Last Name:NAJAFABADIPOOR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 ANSEL RD APT 306
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-4120
Mailing Address - Country:US
Mailing Address - Phone:216-376-1454
Mailing Address - Fax:
Practice Address - Street 1:9161 MENTOR AVE
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-6676
Practice Address - Country:US
Practice Address - Phone:440-974-9530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0280721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice