Provider Demographics
NPI:1114261666
Name:GOLPAYEGANI, NAHAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAHAL
Middle Name:
Last Name:GOLPAYEGANI
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 1:8630 FENTON ST STE 708
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3812
Mailing Address - Country:US
Mailing Address - Phone:240-839-5100
Mailing Address - Fax:
Practice Address - Street 1:8630 FENTON ST STE 708
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3812
Practice Address - Country:US
Practice Address - Phone:240-839-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-23
Last Update Date:2012-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15156122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist