=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407621063
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DRS HONAR NAJAFI AND ASSOCIATES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/22/2023
-----------------------------------------------------
Last Update Date | 11/22/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9351 LAKESIDE BLVD STE 202
-----------------------------------------------------
City | OWINGS MILLS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21117-5064
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-394-9100
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6822 ROSLYN CT
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21044-4918
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 857-334-4549
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DENTIST
-----------------------------------------------------
Name | DR. SHARAREH HONAR
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 410-608-2111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------