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NPI Code Detail

MEDICARE: DR. REZA TAFRISHI DDS

MEDICARE:  DR. REZA  TAFRISHI  DDS
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
1122300000XDentist14106MD

General Provider Information

NPI Number : 1689834806
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REZA TAFRISHI DDS
Provider Business Mailing Address
First Line : 11666 FARSIDE RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-1532
Country : US
Telephone Number : 240-505-0429
Fax Number :
Provider Business Practice Location Address
First Line : 2507 N POINT RD
Second Line :
City : DUNDALK
State : MD
Zip : 21222-1605
Country : US
Telephone Number : 410-284-6650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2008
Last Update Date : 05/28/2026

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Directions to “ DR. REZA TAFRISHI DDS” Practice Location

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