Healthcare Provider Details

I. General information

NPI: 1871410167
Provider Name (Legal Business Name): SHOSHANA GARFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 RIVA RD STE 201
ANNAPOLIS MD
21401-7443
US

IV. Provider business mailing address

1160 KERSEY RD
SILVER SPRING MD
20902-3426
US

V. Phone/Fax

Practice location:
  • Phone: 410-263-1919
  • Fax:
Mailing address:
  • Phone: 240-274-5098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number18840
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: