Dream Smiles Pediatric Dentistry of Gaithersburg

Key facts

NPI

1992379168

Entity type

Organization (NPI type 2)

Primary specialty

Dental Clinic/Center 261QD0000X

Legal business name

DREAM SMILES PEDIATRIC DENTISTRY OF GAITHERSBURG

Practice address

818 W Diamond Ave Ste 220
Gaithersburg, MD 20878-1458

Phone

(617) 763-2002

NPI assigned

May 13, 2021

Organization subpart

No

Authorized official

Name

Dr. Firouzeh Jamshidi, DMD NPI 1215220173

Title

Pediatric Dentist

Phone

(617) 763-2002

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Firouzeh Jamshidi, D.M.D. Pediatric Dentistry · Quincy, MA · NPI 1215220173
  NPD Authorized official

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 13, 2021.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1992379168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W DIAMOND AVE STE 220",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W DIAMOND AVE STE 220",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781458",
            "telephone_number": "617-763-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM SMILES PEDIATRIC DENTISTRY OF GAITHERSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "JAMSHIDI",
        "authorized_official_first_name": "FIROUZEH",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "617-763-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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