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Behnam Fakhravar, DMD, MS — NPI 1700164969, Vancouver, WA | NPI Central

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NPI 1700164969

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Behnam Fakhravar, DMD, MS

NPI 1700164969 · Periodontics · Vancouver, WA

Provider details

NPI number: 1700164969
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DMD, MS
Sex: Male
Sole proprietor: Yes
License: DDS61887 (CA)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense DE60231686 (WA)
Dental Providers
Periodontics1223P0300XLicense DDS61887 (CA)
Dental Providers
Periodontics1223P0300XLicense 1001779 (WI)
Dental Providers
Periodontics1223P0300XLicense 28573 (TX)
Dental Providers
Periodontics1223P0300XLicense D9565 (OR)
Dental Providers

Practice location

322 Se 192nd Ave Ste 100

Vancouver, WA 98683-9679

Phone: (219) 360-9587

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

322 Se 192nd Ave Ste 100

Vancouver, WA 98683-9679

Additional practice locations (4)

1440 N Lombard St
Portland, OR 97217-5533
Phone: (971) 302-2127
1710 Sw 9th Ave Ste 120
Battle Ground, WA 98604-3267
Phone: (360) 219-9591
2404 Columbia House Blvd
Vancouver, WA 98661-7777
Phone: (360) 356-1388
800 Ne Tenney Rd Ste B201
Vancouver, WA 98685-2831
Phone: (360) 839-2789

Registry dates

Enumerated: 2011-07-21
Last updated: 2020-02-20
Certified: 2020-02-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.