Healthcare Provider Details

I. General information

NPI: 1164031175
Provider Name (Legal Business Name): HANAN NASER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2020
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 LAUREL BOWIE RD STE 200
BOWIE MD
20715-4000
US

IV. Provider business mailing address

1533 TANNER ST SE
WASHINGTON DC
20020-2909
US

V. Phone/Fax

Practice location:
  • Phone: 301-805-5437
  • Fax:
Mailing address:
  • Phone: 443-299-8002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number17863
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: