Provider Demographics
NPI:1134646169
Name:NOW DENTISTRY
Entity Type:Organization
Organization Name:NOW DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESSIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ELNADI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-999-1111
Mailing Address - Street 1:8125 PULASKI HWY
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2843
Mailing Address - Country:US
Mailing Address - Phone:410-999-1111
Mailing Address - Fax:
Practice Address - Street 1:8125 PULASKI HWY
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-2843
Practice Address - Country:US
Practice Address - Phone:410-999-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental