Provider Demographics
NPI:1891265344
Name:ESFANDIARI, PARADIS (DDS)
Entity type:Individual
Prefix:DR
First Name:PARADIS
Middle Name:
Last Name:ESFANDIARI
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8991 RACE TRACK RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-9724
Mailing Address - Country:US
Mailing Address - Phone:813-818-8054
Mailing Address - Fax:
Practice Address - Street 1:8991 RACE TRACK RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-9724
Practice Address - Country:US
Practice Address - Phone:813-818-8054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN23843122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist