Healthcare Provider Details

I. General information

NPI: 1851280390
Provider Name (Legal Business Name): TEHZEEB HASSAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 MUDDY BRANCH RD
GAITHERSBURG MD
20878-2780
US

IV. Provider business mailing address

17068 CHARLES M LANKFORD JR MEMORIAL HWY
EASTVILLE VA
23347
US

V. Phone/Fax

Practice location:
  • Phone: 240-801-3138
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401419965
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18960
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: