Provider Demographics
NPI:1891672523
Name:TAJDAR, BESMA
Entity type:Individual
Prefix:
First Name:BESMA
Middle Name:
Last Name:TAJDAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BESMA
Other - Middle Name:
Other - Last Name:TAJDAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:803 VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-9661
Mailing Address - Country:US
Mailing Address - Phone:610-969-8016
Mailing Address - Fax:
Practice Address - Street 1:803 VILLAGE RD
Practice Address - Street 2:
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-9661
Practice Address - Country:US
Practice Address - Phone:610-969-8016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0453891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice