Healthcare Provider Details

I. General information

NPI: 1497737811
Provider Name (Legal Business Name): ISTVAN HARGITAI JR. DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2005
Last Update Date: 08/19/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8955 WOOD RD
BETHESDA MD
20889-5628
US

IV. Provider business mailing address

8955 WOOD RD
BETHESDA MD
20889-5628
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-1495
  • Fax:
Mailing address:
  • Phone: 301-295-1495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X2210X
TaxonomyOrofacial Pain Dentistry
License Number30.020494
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number20494
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: