Provider Demographics
NPI:1144210816
Name:TEHRANI, SAIDEH (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAIDEH
Middle Name:
Last Name:TEHRANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 LAUREL FORT MEADE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2040
Mailing Address - Country:US
Mailing Address - Phone:301-498-6554
Mailing Address - Fax:301-498-6997
Practice Address - Street 1:3450 FORT MEADE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724
Practice Address - Country:US
Practice Address - Phone:301-498-6554
Practice Address - Fax:301-498-6997
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD113011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice