Active NPI
Potomac Dental Clinic, Inc.
- General Practice Dentistry
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13885
- Legal business name
- POTOMAC DENTAL CLINIC, INC.
- Practice address
- 5862 Hubbard Dr
Rockville, MD 20852-4820 - Phone
- (301) 984-4040
- Fax
- (301) 984-4419
- NPI assigned
- Dec 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Parvaneh Sajjadi, D.D.S.
- Title
- President
- Phone
- (301) 984-4040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13885 | MD | Primary |
Addresses
Primary practice location
5862 Hubbard Dr
Rockville, MD 20852-4820
Mailing address
5862 Hubbard Dr
Rockville, MD 20852-4820
Phone (301) 984-4040
Other names 1
- Potomac Dental Clinic, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Potomac Dental Clinic Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Rockville, MD
- NPI 1104988492
Locations
5862 Hubbard Dr
Rockville, MD 20852
Phone (301) 984-4040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387238400000",
"number": "1093136160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5862 HUBBARD DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524820",
"telephone_number": "301-984-4040",
"fax_number": "301-984-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5862 HUBBARD DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524820",
"telephone_number": "301-984-4040",
"fax_number": "301-984-4419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POTOMAC DENTAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-17",
"last_updated": "2013-12-17",
"status": "A",
"authorized_official_last_name": "SAJJADI",
"authorized_official_first_name": "PARVANEH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-984-4040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "13885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Potomac Dental Clinic, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.