Provider Demographics
NPI:1710756465
Name:ARCS ENDODONTICS LLC
Entity Type:Organization
Organization Name:ARCS ENDODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FAZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FAKHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-772-9600
Mailing Address - Street 1:5840 BANNEKER RD STE 120
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3165
Mailing Address - Country:US
Mailing Address - Phone:410-772-9600
Mailing Address - Fax:
Practice Address - Street 1:5840 BANNEKER RD STE 120
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3165
Practice Address - Country:US
Practice Address - Phone:410-772-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty