Healthcare Provider Details

I. General information

NPI: 1780592287
Provider Name (Legal Business Name): A&B DENTAL SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 E CALVADA BLVD STE 3
PAHRUMP NV
89048-5843
US

IV. Provider business mailing address

7380 S EASTERN AVE # 124-590
LAS VEGAS NV
89123-1550
US

V. Phone/Fax

Practice location:
  • Phone: 818-669-4200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: ANAHITA BEHSHADPOUR
Title or Position: PRESIDENT
Credential: DDS
Phone: 818-669-4200