Provider Demographics
NPI:1891783395
Name:ARMANI, MEHRAN RON (DDS)
Entity Type:Individual
Prefix:
First Name:MEHRAN
Middle Name:RON
Last Name:ARMANI
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 1:4708 BRADLEY BLVD APT T2
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6317
Mailing Address - Country:US
Mailing Address - Phone:301-652-0909
Mailing Address - Fax:301-652-2993
Practice Address - Street 1:4708 BRADLEY BLVD APT T2
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6317
Practice Address - Country:US
Practice Address - Phone:301-652-0909
Practice Address - Fax:301-652-2993
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD118901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0002071 00Medicaid