Reiaz Ben Ali, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11360 Issued in MD

Practice address

7900 Old Branch Ave
Suite 209
Clinton, MD 20735

Phone

(301) 856-1200

Fax

(301) 868-1947

NPI assigned

Mar 3, 2009

Last updated

May 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryland Periodontics

  • Dental Clinic/Center
  • Clinton, MD
  • NPI 1740722339
  NPD (past)

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1104066257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 OLD BRANCH AVE",
            "address_2": "SUITE 209",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-856-1200",
            "fax_number": "301-868-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 OLD BRANCH AVE",
            "address_2": "SUITE 209",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-856-1200",
            "fax_number": "301-868-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "REIAZ",
        "middle_name": "BEN",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-03",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "11360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malik A Al-Omari, MD
• Oluwaseyi Alabi
• Alan J. Goodfriend, DMD, Glenn C. Schermer, DMD, Guido Costa, DMD,P.a.
• Jodi Levonne Albright, MA, MT-BC
• Dean Alexis
• Shameka Allan
• Allentown Family Dental Center, LLC
• Alternative Splutions for Youth
• Altitude Behavioral Care LLC
• Alvin B. Williams, Inc.

• Periodontics in Clinton, MD
• Providers in Clinton, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.