Shehar Yar Awan, DDS

Individual provider Active NPI General Practice Dentistry · Fulton, MD

NPI 1255224234 · NPPES record last updated May 30, 2025

Key facts

NPI
1255224234
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
18677 (MD)
Practice address
8170 Maple Lawn Blvd Ste 150
Fulton, MD 20759-2564
Phone
(240) 206-6992
NPI assigned
May 30, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18677MDMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18677 MD Yes

Addresses

Primary practice location

8170 Maple Lawn Blvd Ste 150
Fulton, MD 20759-2564

Mailing address

7522 River Reach Rd
Windsor Mill, MD 21244-1718
Phone (301) 337-1025

Other providers in Fulton, MD

All providers in Fulton, MD · General Practice Dentistry in Maryland

Sources for this page

Verify at the official NPI Registry.