Provider Demographics
NPI:1003948704
Name:ATAPOUR, ROGHIEH (DDS)
Entity Type:Individual
Prefix:
First Name:ROGHIEH
Middle Name:
Last Name:ATAPOUR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9520 BERGER RD
Mailing Address - Street 2:STE 105
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1554
Mailing Address - Country:US
Mailing Address - Phone:410-730-6666
Mailing Address - Fax:410-730-3501
Practice Address - Street 1:9520 BERGER RD STE 105
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1554
Practice Address - Country:US
Practice Address - Phone:410-730-6666
Practice Address - Fax:410-730-3501
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD126191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice