Provider Demographics
NPI:1376633792
Name:BADAR, NILOFER H (DMD)
Entity type:Individual
Prefix:
First Name:NILOFER
Middle Name:H
Last Name:BADAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 CLOVERLY ST
Mailing Address - Street 2:SECOND FLOOR
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:SECOND FLOOR
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice