Provider Demographics
NPI:1558526087
Name:RADPARVAR, SAMAN (DDS)
Entity Type:Individual
Prefix:
First Name:SAMAN
Middle Name:
Last Name:RADPARVAR
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 1:6521 GARDENWICK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2537
Mailing Address - Country:US
Mailing Address - Phone:410-580-1956
Mailing Address - Fax:
Practice Address - Street 1:111 BATA BLVD STE D
Practice Address - Street 2:
Practice Address - City:BELCAMP
Practice Address - State:MD
Practice Address - Zip Code:21017-1427
Practice Address - Country:US
Practice Address - Phone:410-272-1535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14116122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist