Active NPI
Dr Ali Soulati DDS LLC
- General Practice Dentistry
- Easton, MD
National Provider Identifier
1992977235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13057
- Legal business name
- DR ALI SOULATI DDS LLC
- Practice address
- 508 Cynwood Dr Ste a
Easton, MD 21601-3892 - Phone
- (410) 819-0060
- Fax
- (410) 819-0031
- NPI assigned
- Mar 27, 2008
- 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. Ali Soulati, DDS
- Title
- Dentist/Owner
- Phone
- (410) 819-0060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13057 | MD | Primary |
Addresses
Primary practice location
508 Cynwood Dr Ste a
Easton, MD 21601-3892
Mailing address
508 Cynwood Dr Ste a
Easton, MD 21601-3892
Phone (410) 819-0060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306822796 | Other | MD | IND NPI |
National Provider Directory
National Provider DirectoryLocations
508 Cynwood Dr
Ste A
Easton, MD 21601
Phone (410) 819-0060
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Easton, MD
- NPI 1306822796
-
- Dentist
- Easton, MD
- NPI 1205511250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1992977235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 CYNWOOD DR STE A",
"city": "EASTON",
"state": "MD",
"postal_code": "216013892",
"telephone_number": "410-819-0060",
"fax_number": "410-819-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 CYNWOOD DR STE A",
"city": "EASTON",
"state": "MD",
"postal_code": "216013892",
"telephone_number": "410-819-0060",
"fax_number": "410-819-0031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR ALI SOULATI DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "SOULATI",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "410-819-0060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "13057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND NPI",
"identifier": "1306822796",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.