Provider Demographics
NPI:1457173833
Name:DOCTOR OF DENTURES LLC
Entity type:Organization
Organization Name:DOCTOR OF DENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUSHMAT
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMSHED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-660-7645
Mailing Address - Street 1:6119 COLLINSWAY RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2737
Mailing Address - Country:US
Mailing Address - Phone:301-660-7645
Mailing Address - Fax:
Practice Address - Street 1:4708 BRADLEY BLVD
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6320
Practice Address - Country:US
Practice Address - Phone:301-660-7645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty