Provider Demographics
NPI:1891281549
Name:NATEGHI, AFSHIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:AFSHIN
Middle Name:
Last Name:NATEGHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:AFSHIN
Other - Middle Name:
Other - Last Name:NATEGHIFARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:6044 LOGANWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3459
Mailing Address - Country:US
Mailing Address - Phone:669-237-5910
Mailing Address - Fax:
Practice Address - Street 1:1135 ANNAPOLIS RD
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1633
Practice Address - Country:US
Practice Address - Phone:410-672-6868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD165221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice