Dental Spot, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SPOT, LLC

Practice address

6210 Park Heights Ave Unit 104
Baltimore, MD 21215-3626

Phone

(443) 583-0005

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Payam Nourmand

Title

President

Phone

(443) 762-1470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1427883149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 GARDENWICK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092538",
            "telephone_number": "443-762-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 PARK HEIGHTS AVE UNIT 104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153626",
            "telephone_number": "443-583-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "NOURMAND",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-762-1470",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.