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Peyman Bastani, DMD

Dentist in Grand Prairie, TX. Individual provider (NPI-1).

NPI number1750149381
StatusActive
Last updated in NPPESOct 14, 2026

Details

NPI
1750149381
Entity type
Individual (NPI-1)
Name
Peyman Bastani
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 8, 2024
Certification date
Oct 14, 2026
Last updated
Oct 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist43020TXYes

Practice location

3450 S Highway 161 Ste 200
Grand Prairie, TX 75052-7281

Phone 972-820-7214

Mailing address

100 Chilpancingo Pkwy Apt 3205
Pleasant Hill, CA 94523-1376

Phone 925-852-4641

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