Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023249448 Individual Practitioner Male Practitioner

Dr. Yakov Khaydatov , DMD

Dentist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Yakov Khaydatov, DMD is a registered healthcare professional specializing in Dentist in Phoenix, AZ. Practice services are available at 5225 N 19TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5225 N 19th Ave
Suite C

Phoenix, AZ 850152903

Telephone 6024330313
Associated Practice Facility / Clinic
🏢 Healing Havens, Pllc Facility NPI 1093839920

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
412 Specialists

Practicing in Phoenix, AZ (1999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ 7845

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1306931399
Boris Suleymanov

Dentist - General Practice

NPI 1417502725
NPI 1538254446
NPI 1629163530
Dr. Benjamin Baranes , DMD

Dentist - General Practice

NPI 1831748532

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2009

Registered at 5225 N 19TH AVE, SUITE C, PHOENIX, AZ 850152903 (Tel: 6024330313)

📍
Updated Business Mailing Address December 03, 2009

Registered at 110 E JOAN D ARC AVE, PHOENIX, AZ 850224705 (Tel: 6023678456)

👤
Provider Name / Credentials Updated December 03, 2009

Recorded as YAKOV KHAYDATOV, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2009

Dentist (License #7845 in AZ)

🟢
Initial NPI Registration & Enumeration August 03, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023249448
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2009
Last Update: December 03, 2009
Sole Proprietor: No

Mailing Address

110 E Joan D Arc Ave

Phoenix, AZ 850224705

Phone: 6023678456

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.