MEDICARE: HEDYEH ATASHBAR D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11513	MD

General Provider Information

NPI Number	:	1225043987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEDYEH ATASHBAR D.D.S.

Provider Business Mailing Address
First Line	:	10 HENSON OAKS LN
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-3835
Country	:	US
Telephone Number	:	301-217-0363
Fax Number	:	301-593-0067

Provider Business Practice Location Address
First Line	:	11213 LOCKWOOD DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4550
Country	:	US
Telephone Number	:	301-593-0060
Fax Number	:	301-593-0067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	10/09/2025

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