Ali Reza Eghtesadi, DDS

Endodontics · Laurel, MD

Individual Active NPI

NPI number 1073713640

Practice location

8363 Cherry Ln
Laurel, MD 20707-4831
Phone
(301) 980-8293

Open in Google Maps

NPI record

NPI
1073713640
Entity type
Individual (Type 1)
Enumeration date
July 23, 2007
Last updated
August 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X 13566 MD

Mailing address

13 Crownsgate Ct
Germantown, MD 20874-4423
Phone
(301) 412-2818

About Dr. Eghtesadi

Ali Reza Eghtesadi, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 8363 Cherry Ln, Laurel, MD 20707-4831. The NPI number 1073713640 was assigned on July 23, 2007 and the record was last updated on August 9, 2007.

Dr. Eghtesadi lists a license in the registry: #13566 (MD) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ali Reza Eghtesadi, DDS?

The NPI number is 1073713640.

What is the phone number of Dr. Eghtesadi?

The phone number listed for the practice location is (301) 980-8293.

Where is Dr. Eghtesadi located?

8363 Cherry Ln, Laurel, MD 20707-4831.

What is the taxonomy code for Dr. Eghtesadi?

The primary taxonomy code is 1223E0200X – Endodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Endodontics providers in Laurel

All Endodontics providers in Laurel, MD →