Active NPI
Quince Orchard Dental Specialists LLC
- General Practice Dentistry
- Gaithersburg, MD
National Provider Identifier
1962903864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14130
- Legal business name
- QUINCE ORCHARD DENTAL SPECIALISTS LLC
- Practice address
- 845 Quince Orchard Blvd Ste L
Gaithersburg, MD 20878-1676 - Phone
- (301) 527-2725
- NPI assigned
- Feb 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammad M Rouhanian, DDS
- Title
- Owner/President/Dentist
- Phone
- (301) 527-2725
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | 14130 | MD | Primary |
Addresses
Primary practice location
845 Quince Orchard Blvd Ste L
Gaithersburg, MD 20878-1676
Mailing address
845 Quince Orchard Blvd Ste L
Gaithersburg, MD 20878-1676
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1962903864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 QUINCE ORCHARD BLVD STE L",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 QUINCE ORCHARD BLVD STE L",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781676",
"telephone_number": "301-527-2725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUINCE ORCHARD DENTAL SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-26",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "ROUHANIAN",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PRESIDENT/DENTIST",
"authorized_official_telephone_number": "301-527-2725",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.