Family Laser Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FAMILY LASER DENTISTRY LLC

Practice address

877 Baltimore Annapolis Blvd Ste 305
Severna Park, MD 21146-4739

Phone

(410) 975-9331

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Ishtiaq Rouf

Title

Manager

Phone

(617) 817-0681

Specialties & licenses 1

Addresses

Other names 1

• Family Laser Dentistry Doing business as

Locations

Practitioners 1

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

• Ishita Rahman, D.M.D.

  • General Practice Dentistry
  • Annapolis, MD
  • NPI 1326408345
  NPD

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1194587386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD STE 305",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464739",
            "telephone_number": "410-975-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD STE 305",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464739",
            "telephone_number": "410-975-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LASER DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "ROUF",
        "authorized_official_first_name": "ISHTIAQ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-817-0681"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Laser Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Expectations Reimagined LLC
• Eye Care Associates of MD, LLC
• Eye Care Associates of MD, LLC
• Holly Eyler-Yeatman, M.D.
• Faith Hackett, M.D.
• Fare Chiropractic, Inc
• Patricia Fare, BCBA
• Todd Eugene Fare, D.C.
• Feelings Matter Counseling Services, LLC
• Alyssa Felesky, MS/OTR

• Dental Clinic/Center in Severna Park, MD
• Providers in Severna Park, 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 Jan 24, 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.