DR. SALAR AZAD (NPI# 1578092771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578092771 |
| Entity Type | Individual |
| Full Name | DR. SALAR AZAD |
| Credential | DDS |
| Practice Address |
1020 Mill Pond Rd Frederick MD 21701-9427 |
| Mailing Address |
1020 Mill Pond Rd Ste F Frederick MD 21701-9428 |
| Practice Telephone | 2404234243 |
| Mailing Telephone | 2404234243 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
16369 | MD | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DEN1002104 | DC | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
16369 | MD | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22705 Broadway Ave, Clarksburg, MD 208713464 | 2404234243 |
| Street Address |
1020 MILL POND RD |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-9427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821222696 | Melanie Towe | Dentist | 607 W 2nd St, Frederick, MD 21701-4830 | 2009-05-08 |
| 1942659057 | Frederick Periodontal Associates | Dentist | 130 Thomas Johnson Dr, Suite 6, Frederick, MD 21702-4419 | 2016-06-09 |
| 1285859611 | John Joseph Golski | Dentist | 174 Thomas Johnson Dr, Ste.101, Frederick, MD 21702-4423 | 2007-04-13 |
| 1912046814 | Charles Ira Knapp | Dentist | 174 Thomas Johnson Dr, 101, Frederick, MD 21702-4423 | 2007-02-06 |
| 1588760607 | Dr Behnaz Yalda Inc | Dentist | 77 Thomas Johnson Dr, Suite D, Frederick, MD 21702 | 2006-09-16 |
| 1477659571 | Behnaz Yalda | Dentist | 77 Thomas Johnson Dr, Suite D, Frederick, MD 21702 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702133 | Hirschel Wohl | Dentist | 2021b Emmorton Rd Ste 118, Bel Air, MD 21015-8958 | 2020-08-26 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1508386772 | David A Mugford Dmd Pa | Dentist | 1660 Village Grn # 104, Crofton, MD 21114-2033 | 2017-06-20 |
| 1407396369 | Gonzalo Blasi | Dentist | 305 W Fayette St Apt 1412, Baltimore, MD 21201-3466 | 2017-02-26 |
| 1790149052 | Kevin George Murphy | Dentist | 6080 Falls Rd #202, Baltimore, MD 21209-2498 | 2016-04-12 |
| 1124410741 | Andres Jimenez Wolf | Dentist | 13975 Connecticut Ave Ste 311, Silver Spring, MD 20906-2921 | 2015-02-19 |
| 1558610444 | Mary Gray Lee | Dentist | 6080 Falls Road, Suite 202, Baltimore, MD 21209 | 2012-09-06 |
| 1063760486 | Rei Sekiguchi | Dentist | 9000 Rockville Pike Bldg 30, Bethesda, MD 20892-4370 | 2012-08-15 |
| 1811244627 | Kim-thi Van-dinh | Dentist | 3801 Canterbury Rd, Unit 407, Baltimore, MD 21218-2370 | 2012-08-10 |
| 1770858730 | Hyung Jin Bae | Dentist | 16069 Comprint Cir, Gaithersburg, MD 20877-1321 | 2012-03-09 |
| Find all providers with the same taxonomy | ||||
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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.