Healthcare Provider Details

I. General information

NPI: 1457015158
Provider Name (Legal Business Name): ROUHANIAN DENTAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 MUSGROVE RD
SILVER SPRING MD
20904-5202
US

IV. Provider business mailing address

2415 MUSGROVE RD STE 205
SILVER SPRING MD
20904-5228
US

V. Phone/Fax

Practice location:
  • Phone: 301-236-0660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMAD MEHRAN ROUHANIAN
Title or Position: OWNER
Credential: DDS
Phone: 301-793-2576