Dental Care of Laurel Lakes

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL CARE OF LAUREL LAKES

Practice address

13940 Baltimore Washington Blvd
Laurel, MD 20707

Phone

(301) 369-0000

Fax

(301) 369-0031

NPI assigned

Apr 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benham Manesh, DDS

Title

Dentist

Phone

(301) 369-0000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Delband Vazirnezami, DDS

  • Dentist
  • Laurel, MD
  • NPI 1467677393
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861617292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13940 BALTIMORE WASHINGTON BLVD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-369-0000",
            "fax_number": "301-369-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 BALTIMORE WASHINGTON BLVD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-369-0000",
            "fax_number": "301-369-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF LAUREL LAKES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANESH",
        "authorized_official_first_name": "BENHAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-369-0000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deluxe Home Health Care Services,LLC
• Deluxe Home Healthcare Services
• Deluxe Home Healthcare Services
• Tsega Demmeke, M.D.
• Nicole K Dennis
• Dental Professionals of Maryland, Badger, P.C. (FDC - Maple Lawn)
• Dentistry for Children of Maryland, LLC
• Dentistry for Children of Maryland, LLC
• Theresa Louise Deramo, M.AC. L.AC., DIPL.AC
• Alberta Derkyi, CRNP

• General Practice Dentistry in Laurel, MD
• Providers in Laurel, 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 Aug 22, 2020; 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.