Provider Demographics
NPI:1336849975
Name:DR. MEHDI HASAN DDS LLC
Entity Type:Organization
Organization Name:DR. MEHDI HASAN DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-905-2271
Mailing Address - Street 1:714 CLOVERLY ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-4161
Mailing Address - Country:US
Mailing Address - Phone:301-384-4961
Mailing Address - Fax:301-384-4962
Practice Address - Street 1:714 CLOVERLY ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-4161
Practice Address - Country:US
Practice Address - Phone:301-384-4961
Practice Address - Fax:301-384-4962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental