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MODEL DENTAL CLINIC NPI 1548392152


NPI Information

NPI: 1548392152
Provider Name: MODEL DENTAL CLINIC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9520 BERGER RD STE 105
COLUMBIA, MD
ZIP 21046
Phone: (410) 730-6666
Get Directions

MODEL DENTAL CLINIC is a general practice dentist in Columbia, 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. MODEL DENTAL CLINIC NPI is 1548392152. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9520 BERGER RD STE 105
COLUMBIA, MD
ZIP 21046-554
Phone: (410) 730-6666
Fax: (410) 730-3501

The provider's authorized official is Roghieh Atapour .
The authorized official title is Owner Dentist and has the following contact phone number (410) 730-6666.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 4/25/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice12619MARYLANDYes

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: 4/28/2024

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