Provider Demographics
NPI:1013709161
Name:JAVID, MOHAMMAD (DDS)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:
Last Name:JAVID
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 E 86TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4243
Mailing Address - Country:US
Mailing Address - Phone:516-927-7338
Mailing Address - Fax:
Practice Address - Street 1:690 MERRILL RD
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-3714
Practice Address - Country:US
Practice Address - Phone:413-499-1880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program