MEDICARE: BEHNAZ AFROZRAD DMD

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	42348	TX

General Provider Information

NPI Number	:	1154281954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEHNAZ AFROZRAD DMD

Provider Business Mailing Address
First Line	:	2339 KNIGHTS CT
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-4765
Country	:	US
Telephone Number	:	775-219-8302
Fax Number	:

Provider Business Practice Location Address
First Line	:	2339 KNIGHTS CT.
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-4765
Country	:	US
Telephone Number	:	775-219-8302
Fax Number	:

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

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	06/04/2026

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Directions to “ BEHNAZ AFROZRAD DMD” Practice Location

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