GAITHERSBURG DENTAL ASSOCIATES (NPI# 1124423462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124423462 |
| Entity Type | Organization |
| Organization Name | GAITHERSBURG DENTAL ASSOCIATES |
| Other Organization Name | LOGMANNI DENTAL ASSOCIATES |
| Practice Address |
8 Russell Ave Suite 104 Gaithersburg MD 20877-2966 |
| Practice Telephone | 3018692500 |
| Practice Fax Number | 3019267655 |
| Mailing Telephone | 3018692500 |
| Mailing Fax Number | 3019267655 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |
| Authorized Official Name | DR. MANDANA GOODARZI1 LOGMANNI (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3018692500 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
13266 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Logmanni Dental Associates | Former Legal Business Name - Organization |
| Street Address |
8 RUSSELL AVE SUITE 104 |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253984 | Laurence J. Fields | Dentist | 8 Russell Ave, Ste 104, Gaithersburg, MD 20877-2962 | 2005-05-28 |
| 1730479429 | Figueredo Associates,pc. | Dentist | 8 Russell Ave, 105, Gaithersburg, MD 20877-2966 | 2011-04-14 |
| 1346487592 | Shideh Emdadi | Dentist | 8 Russell Ave, 104, Gaithersburg, MD 20877-2966 | 2009-01-09 |
| 1558516237 | Bryan Gover | Dentist | 8 Russell Ave, Suite #105, Gaithersburg, MD 20877-2966 | 2008-11-23 |
| 1184889081 | Physical Medicine and Treatment Center Joseph Y Lin M D P A | Physical Medicine & Rehabilitation | 8 Russell Ave, Suite 101, Gaithersburg, MD 20877-2966 | 2008-07-21 |
| 1447391503 | Mandana Goodarzi Logmanni | Dentist | 8 Russell Ave, Suite 104, Gaithersburg, MD 20877-2966 | 2007-02-10 |
| 1073654133 | Gaithersburg Dental Associate Pa | Dentist | 8 Russell Ave, Suite 104, Gaithersburg, MD 20877-2966 | 2007-02-10 |
| 1851493233 | Joseph Y Lin | Physical Medicine & Rehabilitation | 8 Russell Ave, Ste 101, Gaithersburg, MD 20877 | 2006-09-05 |
| 1821093600 | David H. Frome | Dentist | 8 Russell Ave, Ste 104, Gaithersburg, MD 20877-2962 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099782 | Michael Chang Dds PC | Clinic/Center | 16220 Frederick Rd Ste 315, Gaithersburg, MD 20877-4020 | 2020-09-24 |
| 1407474380 | Russell Park Dental Care, LLC | Clinic/Center | 963 Russell Ave Ste A, Gaithersburg, MD 20879-3287 | 2020-07-08 |
| 1699316638 | Core Health Group | Clinic/Center | 100 Lakeforest Blvd Ste 620, Gaithersburg, MD 20877-6203 | 2019-10-01 |
| 1992189963 | Nova Dental Gaithersburg LLC | Clinic/Center | 806 W Diamond Ave Ste 300, Gaithersburg, MD 20878-1415 | 2015-07-19 |
| 1902072408 | Cha-camp Dental LLC | Clinic/Center | 20036 Goshen Rd, Gaithersburg, MD 20879-1604 | 2008-05-05 |
| 1366560716 | Fariba Rafizadeh, D.m.d. P.a. | Clinic/Center | 902 Wind River Ln Ste 204, Gaithersburg, MD 20878-1977 | 2007-03-26 |
| 1821570524 | Schneider Family Dentistry | Clinic/Center | 22 Montgomery Village Ave, Gaithersburg, MD 20879-3582 | 2018-08-30 |
| 1841708773 | Thomas Yoon Dmd PC | Clinic/Center | 20219 Goshen Rd, Gaithersburg, MD 20879-4000 | 2018-01-12 |
| 1447769302 | North Potomac Dental Studio | Clinic/Center | 211 Market St W, Gaithersburg, MD 20878-6428 | 2017-09-22 |
| 1619244852 | Rouhanian Dental PC | Clinic/Center | 845 Quince Orchard Blvd Ste H, Gaithersburg, MD 20878 | 2011-11-16 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.