MEDICARE: DR. SAIDEH TEHRANI D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11301	MD

General Provider Information

NPI Number	:	1144210816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAIDEH TEHRANI D.M.D.

Provider Business Mailing Address
First Line	:	3450 LAUREL FORT MEADE RD STE 202
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-2040
Country	:	US
Telephone Number	:	301-498-6554
Fax Number	:	301-498-6997

Provider Business Practice Location Address
First Line	:	3450 FORT MEADE RD
Second Line	:	SUITE 202
City	:	LAUREL
State	:	MD
Zip	:	20724
Country	:	US
Telephone Number	:	301-498-6554
Fax Number	:	301-498-6997

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	08/22/2018

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