Healthcare Provider Details

I. General information

NPI: 1346167327
Provider Name (Legal Business Name): NASHMIL ISLAM DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8918 WOODYARD RD
CLINTON MD
20735-4204
US

IV. Provider business mailing address

8918 WOODYARD RD
CLINTON MD
20735-4204
US

V. Phone/Fax

Practice location:
  • Phone: 301-856-1122
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18748
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: