Nicolas Anis Kfouri, DMD, PA

Primary specialty

DentistTaxonomy code 122300000X

License

10454 Issued in MD

Legal business name

NICOLAS ANIS KFOURI, DMD, PA

Practice address

2963 Manchester Rd
Unit a
Manchester, MD 21102-1853

Phone

(410) 239-3977

Fax

(410) 239-9999

NPI assigned

Aug 24, 2006

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

Mrs. Janet Noel Aberts

Title

Office Manager

Phone

(410) 239-3977

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.

• Nicolas Anis Kfouri, D.M.D.

  • General Practice Dentistry
  • Manchester, MD
  • NPI 1205814845
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881701977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 MANCHESTER RD",
            "address_2": "UNIT A",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211021853",
            "telephone_number": "410-239-3977",
            "fax_number": "410-239-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 MANCHESTER RD",
            "address_2": "UNIT A",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211021853",
            "telephone_number": "410-239-3977",
            "fax_number": "410-239-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS ANIS KFOURI, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABERTS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-239-3977",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "10454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mazzur
• Janet Mejias, LGPC
• Theresa K Miley, C.R.N.P.
• Emily Miller, CRNP
• Jennifer Neemann, PH.D.
• Samantha Norris, LCPC
• North Pines Assisted Living Facility, Inc.
• North Pines Assisted Living LLC
• Novus Pain Management - Maryland, LLC
• Nurtured Pathways Counseling & Consultation Services, LLC

• Dentist in Manchester, MD
• Providers in Manchester, MD by specialty
• Dentist 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.