MEDICARE: DRS HONAR NAJAFI AND ASSOCIATES LLC

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

General Provider Information

NPI Number	:	1407621063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS HONAR NAJAFI AND ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	6822 ROSLYN CT
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-4918
Country	:	US
Telephone Number	:	857-334-4549
Fax Number	:

Provider Business Practice Location Address
First Line	:	9351 LAKESIDE BLVD STE 202
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-5064
Country	:	US
Telephone Number	:	443-394-9100
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. SHARAREH HONAR
Credential	:	DDS
Telephone Number	:	410-608-2111

Provider Enumeration Date	:	11/22/2023
Last Update Date	:	11/22/2023

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