Asha S Athans, DDS

Individual provider Active NPI General Practice Dentistry · Arnold, MD

NPI 1649924879 · NPPES record last updated Feb 7, 2022

Key facts

NPI
1649924879
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
17318 (MD)
Practice address
485 Joyce LN W
Arnold, MD 21012-2240
Phone
(443) 346-3411
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
Yes

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
17318MDMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 17318 MD Yes

Addresses

Primary practice location

485 Joyce LN W
Arnold, MD 21012-2240

Mailing address

485 Joyce LN W
Arnold, MD 21012-2240
Phone (443) 346-3411

Other providers in Arnold, MD

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

Sources for this page

Verify at the official NPI Registry.