DR. ALI REZA EGHTESADI (NPI# 1073713640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073713640 |
| Entity Type | Individual |
| Full Name | DR. ALI REZA EGHTESADI |
| Credential | DDS |
| Practice Address |
8363 Cherry Ln Laurel MD 20707-4831 |
| Mailing Address |
13 Crownsgate Ct Germantown MD 20874-4423 |
| Practice Telephone | 3019808293 |
| Mailing Telephone | 3014122818 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
13566 | MD | Dental Providers |
| Street Address |
8363 CHERRY LN |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460069 | Richard A. Batz | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2005-10-10 |
| 1336669977 | Jacqueline Isabelle | Dentist | 8363 Cherry Ln, Laurel, MD 20707 | 2017-06-25 |
| 1982038139 | Paulos F Dalu | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2013-08-23 |
| 1558793232 | Irfan Karimullah | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2013-08-05 |
| 1285985952 | Esther De Chantal Ngo Bikoi | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2012-09-21 |
| 1649552183 | Oludayo Ogunnaike | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2011-09-11 |
| 1245553056 | Drs. Batz & Weiner | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2010-03-08 |
| 1255468799 | Shoreh S. Kavandi | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2007-02-28 |
| 1548302284 | Sunanda Bhushan | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2007-02-12 |
| 1639233620 | Francis Hunte | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619350758 | Rct Endodontics of Laurel, LLC | Dentist | 9889 Brewers Ct, Laurel, MD 20723-1905 | 2015-07-07 |
| 1043247026 | Aslim Abdullah | Dentist | 1443 Laurel Bowie Rd, Ste 300, Laurel, MD 20708 | 2006-06-27 |
| 1912900929 | Joseph A Herbst | Dentist | 14333 Laurel Bowie Rd, Ste 311, Laurel, MD 20708-1183 | 2005-05-23 |
| 1538682836 | Laurel Endodontics | Dentist | 14333 Laurel Bowie Rd, Ste 300, Laurel, MD 20107 | 2017-07-19 |
| 1760415616 | Melvin Jay Weissburg | Dentist | 9811 Mallard Dr, #112, Laurel, MD 20708-3143 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404157 | Rct Endodontics of North Potomac, LLC | Dentist | 11906 Darnestown Rd Ste G, North Potomac, MD 20878-2200 | 2020-07-22 |
| 1750909651 | Azad Dental Group | Dentist | 1020 Mill Pond Rd Ste F, Frederick, MD 21701-9428 | 2020-07-08 |
| 1831758382 | Georgetowne Park Endodontics | Dentist | 5846 Hubbard Dr, Rockville, MD 20852-4820 | 2019-06-09 |
| 1568021012 | Endodontics of Gaithersburg, LLC | Dentist | 847 Quince Orchard Blvd Ste G, Gaithersburg, MD 20878-1677 | 2019-06-09 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1649754482 | Greater Maryland Endodontics, LLC | Dentist | 7676 New Hampshire Ave Ste 424, Takoma Park, MD 20912-7516 | 2018-09-18 |
| 1346730249 | Alexis Joy Herring | Dentist | 29466 Pintail Dr Ste 16, Easton, MD 21601-9324 | 2018-05-16 |
| 1023510575 | Advanced Endodontics Specialty Doctors | Dentist | 5802 Hubbard Dr, Rockville, MD 20852-4818 | 2018-03-01 |
| 1962903864 | Quince Orchard Dental Specialists LLC | Dentist | 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 | 2018-02-26 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.