Mitra Davaninejad, DDS

Dentist · Frederick, MD

Individual Active NPI

NPI number 1104347301

Practice location

4959 Westview Dr Ste F
Frederick, MD 21703-7369
Phone
(240) 815-6949

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NPI record

NPI
1104347301
Entity type
Individual (Type 1)
Enumeration date
June 28, 2017
Last updated
July 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 16403 MD

Mailing address

18931 Highstream Dr
Germantown, MD 20874-6168
Phone
(240) 643-4228

Other practice locations (1)

  • 18931 Highstream Dr, Germantown, MD 20874-6168 · (240) 643-4228

About Dr. Davaninejad

Mitra Davaninejad, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4959 Westview Dr Ste F, Frederick, MD 21703-7369. The NPI number 1104347301 was assigned on June 28, 2017 and the record was last updated on July 21, 2022.

Dr. Davaninejad lists a license in the registry: #16403 (MD) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mitra Davaninejad, DDS?

The NPI number is 1104347301.

What is the phone number of Dr. Davaninejad?

The phone number listed for the practice location is (240) 815-6949.

Where is Dr. Davaninejad located?

4959 Westview Dr Ste F, Frederick, MD 21703-7369.

What is the taxonomy code for Dr. Davaninejad?

The primary taxonomy code is 122300000X – Dentist.

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.

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