Healthcare Provider Details

I. General information

NPI: 1588540892
Provider Name (Legal Business Name): AMIR SOLEIMANI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11550 PHILADELPHIA RD
WHITE MARSH MD
21162-1305
US

IV. Provider business mailing address

7906 MAIN FALLS CIR
CATONSVILLE MD
21228-2420
US

V. Phone/Fax

Practice location:
  • Phone: 410-256-4868
  • Fax:
Mailing address:
  • Phone: 443-618-1478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number18949
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: