Healthcare Provider Details

I. General information

NPI: 1609668672
Provider Name (Legal Business Name): YOUANA H BEKHEET DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 E ALLEGHENY AVE STE 201
PHILADELPHIA PA
19134-4427
US

IV. Provider business mailing address

49 LA RUE LN
EAST BRUNSWICK NJ
08816-5669
US

V. Phone/Fax

Practice location:
  • Phone: 215-282-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI03091400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS045195
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: