MEDICARE: DR. MAVASH KHAJAVI-HARVEY 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	7997	WA

General Provider Information

NPI Number	:	1891866398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAVASH KHAJAVI-HARVEY DMD

Provider Business Mailing Address
First Line	:	6800 GREENWOOD AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5228
Country	:	US
Telephone Number	:	206-686-8800
Fax Number	:	206-686-3085

Provider Business Practice Location Address
First Line	:	6800 GREENWOOD AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5228
Country	:	US
Telephone Number	:	206-686-8800
Fax Number	:	206-686-3085

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	11/19/2025

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