MEDICARE: DR. EHSAN JAVIDAN-NEJAD DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	27429	TX
2	1223G0001X	General Practice Dentistry	2901020312	MI

General Provider Information

NPI Number	:	1053621516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EHSAN JAVIDAN-NEJAD DDS

Provider Business Mailing Address
First Line	:	18909 LLOYD CIR APT 8210
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-2633
Country	:	US
Telephone Number	:	313-529-2404
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 W AIRPORT FWY STE 121
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-6204
Country	:	US
Telephone Number	:	214-596-0003
Fax Number	:	214-596-0751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2010
Last Update Date	:	01/29/2013

Similar Medicare Providers

1467074302 — BRAD JAMES GAUTNEY CPNP-PC
Practice Location Address:

1111 W AIRPORT FWY STE 143
IRVING, TX
75062-6204

Practice Phone: 469-488-4500
Practice Fax: 469-488-4501

1386834182 — DENTAL EXPERTS, PA
Practice Location Address:

1111 W AIRPORT FWY STE 121
IRVING, TX
75062-6204

Practice Phone: 214-596-0003
Practice Fax: 214-596-0751

1366763666 — FARHANA ASIM M.D
Practice Location Address:

1111 W AIRPORT FWY STE 143
IRVING, TX
75062-6204

Practice Phone: 469-488-4500
Practice Fax:

1497069538 — LIBIR, LLC
Practice Location Address:

1111 W AIRPORT FWY STE 101
IRVING, TX
75062-6204

Practice Phone: 972-746-4747
Practice Fax: 972-746-4746

1639032675 — HENNA BHANWADIA APRN
Practice Location Address:

1111 W AIRPORT FWY STE 143
IRVING, TX
75062-6204

Practice Phone: 469-488-4500
Practice Fax: 469-488-4501

1154758845 — DR. KRISTEN ELISE TAYLOR DO.
Practice Location Address:

400 E. JOHN CARPENTER FWY
IRVING, TX
75062

Practice Phone: 214-919-7763
Practice Fax: 214-764-9939

Directions to “ DR. EHSAN JAVIDAN-NEJAD DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.