Provider Demographics
NPI:1467684035
Name:DHARANI JASTHI DMD PC
Entity Type:Organization
Organization Name:DHARANI JASTHI DMD PC
Other - Org Name:TODAY'S DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DHARANI
Authorized Official - Middle Name:
Authorized Official - Last Name:JASTHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:443-413-5458
Mailing Address - Street 1:832 N ROLLING RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4136
Mailing Address - Country:US
Mailing Address - Phone:410-744-7777
Mailing Address - Fax:
Practice Address - Street 1:832 N ROLLING RD
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4136
Practice Address - Country:US
Practice Address - Phone:410-744-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD122101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty