MEDICARE: ROUHANIAN DENTAL ASSOCIATES LLC

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	332BC3200X	Customized Equipment (DME)
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1457015158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROUHANIAN DENTAL ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	2415 MUSGROVE RD STE 205
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-5228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2415 MUSGROVE RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-5202
Country	:	US
Telephone Number	:	301-236-0660
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MOHAMMAD MEHRAN ROUHANIAN
Credential	:	DDS
Telephone Number	:	301-793-2576

Provider Enumeration Date	:	10/28/2021
Last Update Date	:	04/23/2026

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