Provider Demographics
NPI:1255224234
Name:AWAN, SHEHAR YAR (DDS)
Entity type:Individual
Prefix:
First Name:SHEHAR YAR
Middle Name:
Last Name:AWAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7522 RIVER REACH RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1718
Mailing Address - Country:US
Mailing Address - Phone:301-337-1025
Mailing Address - Fax:
Practice Address - Street 1:8170 MAPLE LAWN BLVD STE 150
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2564
Practice Address - Country:US
Practice Address - Phone:240-206-6992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD186771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice