MODERN DENTISTRY 1 LLC NPI 1265293732

NPI Information

  • NPI: 1265293732
  • Provider Name: MODERN DENTISTRY 1 LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • :
  • Address: 8352 RITCHIE HWY
    PASADENA, MD
    ZIP 21122
  • Phone: (410) 647-3595

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NPI Details

MODERN DENTISTRY 1 LLC is a general practice dentist in Pasadena, MD. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MODERN DENTISTRY 1 LLC NPI is 1265293732. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

8352 RITCHIE HWY
PASADENA, MD
ZIP 21122-944
Phone: (410) 647-3595

The provider's authorized official is Afshin Nateghi .
The authorized official title is Dentist and has the following contact phone number (669) 237-5910.

The enumeration date for this NPI number is 1/22/2024 and was last updated on 2/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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