Mahvash Zulfaghary, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11926 Issued in MD

Practice address

8170 Maple Lawn Blvd
Suite#150
Fulton, MD 20759-2537

Phone

(240) 456-0717

Fax

(240) 456-0719

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aesthetic & Family Dental Care

  dba Allure Dental

  • General Practice Dentistry
  • Fulton, MD
  • NPI 1528108214
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1982778684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11535 FOX RIVER DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426279",
            "telephone_number": "410-740-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 MAPLE LAWN BLVD",
            "address_2": "SUITE#150",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592537",
            "telephone_number": "240-456-0717",
            "fax_number": "240-456-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULFAGHARY",
        "first_name": "MAHVASH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON VA",
            "identifier": "228939",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI UNITED HEALTHCARE",
            "identifier": "256537",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "30396",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "930396",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA CO. INC.",
            "identifier": "903494",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7458",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Yost
• Susan Yost, M.D.
• Letiate Young
• Yulexi Yuquilima
• Ronald Zaycer, RPH

• General Practice Dentistry in Fulton, MD
• Providers in Fulton, 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 Dec 14, 2010; 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.