Provider Demographics
NPI:1740808401
Name:DENTAL ON DEMAND INC
Entity type:Organization
Organization Name:DENTAL ON DEMAND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAHANZABE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:443-285-1595
Mailing Address - Street 1:5826 IPSWICH RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1808
Mailing Address - Country:US
Mailing Address - Phone:443-285-1595
Mailing Address - Fax:
Practice Address - Street 1:5454 WISCONSIN AVE STE 1415
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6919
Practice Address - Country:US
Practice Address - Phone:301-652-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental