Provider Demographics
NPI:1861607244
Name:JAFARI, HALEH (DDS)
Entity type:Individual
Prefix:DR
First Name:HALEH
Middle Name:
Last Name:JAFARI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:JAFARI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:8535 WEST BELLFORT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071
Mailing Address - Country:US
Mailing Address - Phone:713-777-8999
Mailing Address - Fax:713-988-2422
Practice Address - Street 1:8535 WEST BELLFORT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071
Practice Address - Country:US
Practice Address - Phone:713-777-8999
Practice Address - Fax:713-988-2422
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX179551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG6006801OtherDELTA DENTAL NCHIP