SASAN MOGHADDAMME-JAFARI


Address: 45 Thomas Johnson Dr, Frederick, MD 21702-4301
Phone: 3016968664

SASAN MOGHADDAMME-JAFARI (NPI# 1245383710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245383710
Entity Type Individual
Full Name SASAN MOGHADDAMME-JAFARI
Practice Address 45 Thomas Johnson Dr
Frederick
MD 21702-4301
Practice Telephone 3016968664
Enumeration Date 2007-01-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
13190 MD Dental Providers

Office Location

Street Address 45 THOMAS JOHNSON DR
City FREDERICK
State MD
Zip Code 21702-4301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003813072 Kimberly Lyn Zeren Nurse Practitioner 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702-4425 2005-07-05
1649538752 Dawn Christian Sharer Nurse Practitioner 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 2012-04-26
1104102839 Freedom Home Dialysis, LLC Clinic/Center 45 Thomas Johnson Dr, Suite 211, Frederick, MD 21702-4425 2011-10-26
1881987907 Nicole Harriman Nurse Practitioner 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 2011-05-23
1871893719 Catherine Theresa Lauritzen Nurse Practitioner 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 2010-10-26
1427385681 Khc Group PC Clinical Medical Laboratory 45 Thomas Johnson Dr, Frederick, MD 21702-4425 2009-11-09
1649435694 Frederick Dermatology Associates LLC Dermatology 45 Thomas Johnson Dr, Frederick, MD 21702-4425 2008-07-18
1881862258 Camerica S. Boma Nurse Anesthetist, Certified Registered 45 Thomas Johnson Dr, Suite 207, Frederick, MD 21702-4425 2008-02-19
1427260579 Sarah S Lantzy Internal Medicine 45 Thomas Johnson Dr, Frederick, MD 21702-4425 2007-05-03
1568587772 Dental One Associates Frederick PC Dentist 45 Thomas Johnson Dr, Suite 105, Frederick, MD 21702-4301 2007-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073129714 Rita Akowuah Nurse Practitioner 1302 Baker Place East Apt 14, Frederick, MD 21702 2020-09-18
1912416272 Morgan Nicely Behavior Technician 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 2017-09-29
1154840494 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 2017-09-19
1831617471 Hazel Elizabeth Gill Physical Therapy Assistant 2007 Butterfield Overlook, Frederick, MD 21702 2017-09-05
1831610161 William Haynes Nurse Practitioner 103 Water Land Ct., Frederick, MD 21702 2017-06-27
1497299333 Timothy Stimach Pharmacist 1430b W Patrick St, Frederick, MD 21702 2016-12-12
1184167405 Maryland Nutrition and Diet Services, L.L.C. Dietitian, Registered 1301 W. 7th Street, No. 1607, Frederick, MD 21702 2016-11-18
1649649468 Oluwakemi Olubunmi Osidele Nurse Practitioner 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 2015-09-22
1841678562 Ventzislava Hristova Spec/Tech, Pathology 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 2015-05-14
1023404571 Mychal Lynn Pilia Advanced Practice Midwife 7420 Hayward Road, Suite 104, Frederick, MD 21702 2015-04-11
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750909651 Azad Dental Group Dentist 1020 Mill Pond Rd Ste F, Frederick, MD 21701-9428 2020-07-08
1215006507 Michael D Parsons Dentist 85 Thomas Johnson Ct Ste A, Frederick, MD 21702-4331 2006-11-08
1497735377 Tony Kyungsik Yoon Dentist 70 Thomas Johnson Dr, Suite 123, Frederick, MD 21702-4361 2006-01-18
1952770703 Brian D Hall Dentist 604 Solarex Ct, Suite 202, Frederick, MD 21703-7005 2015-09-23
1730300609 Alvin S. Ro Dentist 198 Thomas Johnson Dr, Suite 11, Frederick, MD 21702-4398 2007-05-01
1255410064 Sunia Abdula-lessing Dentist 70 Thomas Johnson Dr, Suite 123, Frederick, MD 21702-4361 2006-11-03
1255417028 Brian D. Hall, Dds, Pa Dentist 1090 W Patrick St, Suite D, Frederick, MD 21703-3967 2006-10-27
1982789269 Douglas J. Koch, D.d.s.,l.l.c. Dentist 85 Thomas Johnson Ct, Suite A, Frederick, MD 21702-4331 2006-10-26
1811072291 Douglas John Koch Dentist 85 Thomas Johnson Ct, Suite A, Frederick, MD 21702-4331 2006-10-26

Providers in the same taxonomy and state

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
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
1508399080 Timonium Dental & Specialty LLC Dentist 2135 York Rd Ste A, Timonium, MD 21093-3137 2017-04-11
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Competitor

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City FREDERICK
Zip Code 21702

Improve Information

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Dataset Information

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.

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