Rockville Advanced Dentistry, Mehr Tucker LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROCKVILLE ADVANCED DENTISTRY, MEHR TUCKER LLC

Practice address

2403 Research Blvd Ste 202
Rockville, MD 20850-6289

Phone

(301) 461-0666

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Mehrnoush Tucker, DDS

Title

Dentist

Phone

(301) 461-0666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1083453773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 RESEARCH BLVD STE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506289",
            "telephone_number": "301-461-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 RESEARCH BLVD STE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506289",
            "telephone_number": "301-461-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE ADVANCED DENTISTRY, MEHR TUCKER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MEHRNOUSH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-461-0666",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.