Provider Demographics
NPI:1578311346
Name:ANAHITA NOROUZI DDS & ASSOCIATES PC
Entity type:Organization
Organization Name:ANAHITA NOROUZI DDS & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAHITA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOROUZI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:240-550-3636
Mailing Address - Street 1:8602 BUCKHANNON DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3505
Mailing Address - Country:US
Mailing Address - Phone:240-550-3636
Mailing Address - Fax:
Practice Address - Street 1:8927 SHADY GROVE CT # 21A
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1308
Practice Address - Country:US
Practice Address - Phone:240-550-3636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty