Mandana Goodarzi Logmanni, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13266 Issued in MD

Practice address

8 Russell Ave
Suite 104
Gaithersburg, MD 20877-2966

Phone

(301) 869-2500

Fax

(301) 926-7655

NPI assigned

Feb 10, 2007

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1447391503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 DARVEL CIR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441415",
            "telephone_number": "410-730-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RUSSELL AVE",
            "address_2": "SUITE 104",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772966",
            "telephone_number": "301-869-2500",
            "fax_number": "301-926-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGMANNI",
        "first_name": "MANDANA",
        "middle_name": "GOODARZI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Liu
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• Karen Lizarraga, PA-C
• Natalia Maria Llanes Aaron, MD
• John Edward Loftus IV, LCSW-C
• Grace E Lohr, D.C.
• Anne Maddalena Lombardo, PHD
• Marriah Tess Lombardo, LCSW
• Cynthia F London, LCSW-C
• Inna London, MD

• General Practice Dentistry in Gaithersburg, MD
• Providers in Gaithersburg, 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 Apr 23, 2019; 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.