Healthcare Provider Details

I. General information

NPI: 1871060418
Provider Name (Legal Business Name): HANLIAN XIAO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2018
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11906 DARNESTOWN RD STE G
GAITHERSBURG MD
20878-2200
US

IV. Provider business mailing address

11906 DARNESTOWN RD STE G
GAITHERSBURG MD
20878-2200
US

V. Phone/Fax

Practice location:
  • Phone: 240-800-7008
  • Fax:
Mailing address:
  • Phone: 617-939-0699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number16690
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: