Aesthetic Dental Center of Columbia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11926 Issued in MD

Legal business name

AESTHETIC DENTAL CENTER OF COLUMBIA

Practice address

10700 Charter Dr Ste 340
Columbia, MD 21044-3695

Phone

(410) 730-7779

Fax

(410) 730-9111

NPI assigned

Mar 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahvash Zulfaghary, D.D.S.

Title

Owner

Phone

(410) 730-7779

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073641759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 340",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443695",
            "telephone_number": "410-730-7779",
            "fax_number": "410-730-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 340",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443695",
            "telephone_number": "410-730-7779",
            "fax_number": "410-730-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DENTAL CENTER OF COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZULFAGHARY",
        "authorized_official_first_name": "MAHVASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-730-7779",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "7200790",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1440472",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Columbia, MD
• Providers in Columbia, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.