Nareh Issayans, DDS

Individual provider Active NPI General Practice Dentistry · Frederick, MD

NPI 1306369954 · NPPES record last updated Jul 9, 2018

Key facts

NPI
1306369954
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
16502 (MD)
Practice address
4959 Westview Dr Ste F
Frederick, MD 21703-7369
Phone
(240) 815-6949
NPI assigned
Jul 25, 2017
Sex
Female
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
1740FLMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1740 FL
General Practice Dentistry 1223G0001X 16502 MD Yes

Addresses

Primary practice location

4959 Westview Dr Ste F
Frederick, MD 21703-7369

Mailing address

14231 Reed Farm Way
North Potomac, MD 20878-3807
Phone (240) 994-7002

Other practice location 1

9200 113th St
Seminole, FL 33772-2800
Phone (727) 394-6064

Other providers in Frederick, MD

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

Sources for this page

Verify at the official NPI Registry.