A.Davanlou DDS,PA – Dentist in Elkridge, MD

Key facts

NPI: 1013133370
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
License: 12454 (MD)
Legal business name: A.DAVANLOU DDS,PA
Practice address: 8180 Lark Brown Rd
Suite 202
Elkridge, MD 21075-6425
Phone: (410) 799-7172
Fax: (410) 799-7132
NPI assigned: Apr 17, 2007
Organization subpart: No

Authorized official

Name: Dr. Azita Davanlou, DDS
Title: Owner
Phone: (410) 799-7172

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Azita Davanlou, DDS Dentist · Elkridge, MD · NPI 1093726846

NPD (past) DENTIST

National Provider Directory

Locations

8180 Lark Brown Rd
Ste 202
Elkridge, MD 21075
Phone (410) 799-7172

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	122300000X	12454	MD	Yes

Addresses

Primary practice location

8180 Lark Brown Rd
Suite 202
Elkridge, MD 21075-6425

Mailing address

8180 Lark Brown Rd
Suite 202
Elkridge, MD 21075-6425
Phone (410) 799-7172

Other names

chartwell dental group Doing business as

Other providers in Elkridge, MD

All providers in Elkridge, MD · Dentist in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.