Healthcare Provider Details

I. General information

NPI: 1598961237
Provider Name (Legal Business Name): SELECT DENTAL DC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 K ST NW SUITE 720
WASHINGTON DC
20006-1003
US

IV. Provider business mailing address

2021 K ST NW STE 720
WASHINGTON DC
20006-1003
US

V. Phone/Fax

Practice location:
  • Phone: 202-331-7474
  • Fax: 202-331-0262
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2704
License Number StateDC

VIII. Authorized Official

Name: MOHAMMAD MEHRAN ROUHANIAN
Title or Position: DDS
Credential:
Phone: 301-527-2727