Provider Demographics
NPI:1427011287
Name:MEER, BABAK ROBERT (DMD)
Entity Type:Individual
Prefix:
First Name:BABAK
Middle Name:ROBERT
Last Name:MEER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:BABAK
Other - Middle Name:
Other - Last Name:MIRHAKKALS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:131 ELDEN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4835
Mailing Address - Country:US
Mailing Address - Phone:703-657-0000
Mailing Address - Fax:703-657-0958
Practice Address - Street 1:131 ELDEN ST STE 100
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4835
Practice Address - Country:US
Practice Address - Phone:703-657-0000
Practice Address - Fax:703-657-0958
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD 130861223G0001X
VA04014120491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
054635OtherJHHC
521860379OtherMETLIFE
9179244OtherDORAL
MD288504201Medicaid
DG26TH 521860379-110OtherCAREFIRST
521860379OtherMETLIFE