Soren Beheshti, DDS
Individual provider Active NPI Dentist · Kensington, MD
NPI 1497086003 · NPPES record last updated Jan 21, 2010
Key facts
- NPI
- 1497086003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 11829 (MD)
- Practice address
- 3704 Perry Ave
Kensington, MD 20895-2118 - Phone
- (301) 933-1833
- NPI assigned
- Jan 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woo Wang DDS, LLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11829 | MD | Yes |
Addresses
Primary practice location
3704 Perry Ave
Kensington, MD 20895-2118
Mailing address
3704 Perry Ave
Kensington, MD 20895-2118
Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.