Provider Demographics
NPI:1083767644
Name:MOHIT K. AND JENNIFER P. VIRMANI, D.D.S., P.A.
Entity Type:Organization
Organization Name:MOHIT K. AND JENNIFER P. VIRMANI, D.D.S., P.A.
Other - Org Name:NAYLORS COURT DENTAL PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:PEITZKE
Authorized Official - Last Name:VIRMANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-484-2722
Mailing Address - Street 1:4000 OLD COURT RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2847
Mailing Address - Country:US
Mailing Address - Phone:410-484-2722
Mailing Address - Fax:410-484-2794
Practice Address - Street 1:4000 OLD COURT RD STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-2847
Practice Address - Country:US
Practice Address - Phone:410-484-2722
Practice Address - Fax:410-484-2794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133091223G0001X
MD133111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty