Healthcare Provider Details

I. General information

NPI: 1003499245
Provider Name (Legal Business Name): TAJMINA T AKTER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27283 W WARREN ST
DEARBORN HEIGHTS MI
48127-1804
US

IV. Provider business mailing address

950 HERNDON PKWY STE 140
HERNDON VA
20170-5526
US

V. Phone/Fax

Practice location:
  • Phone: 313-380-6323
  • Fax:
Mailing address:
  • Phone: 703-393-9393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN2000128
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401417774
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number2901603248
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: