Provider Demographics
NPI:1255676888
Name:REZA TAFRISHI D.D.S.,P.C.
Entity Type:Organization
Organization Name:REZA TAFRISHI D.D.S.,P.C.
Other - Org Name:NORTH POINT DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT,OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REZA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAFRISHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-379-5558
Mailing Address - Street 1:7744 CHATFIELD LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-7915
Mailing Address - Country:US
Mailing Address - Phone:410-379-5558
Mailing Address - Fax:
Practice Address - Street 1:2507 N POINT RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-1605
Practice Address - Country:US
Practice Address - Phone:410-284-6650
Practice Address - Fax:410-284-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-08
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD141061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty