ATEFEH REZAEI BOROUN (NPI# 1598373383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598373383 |
| Entity Type | Individual |
| Full Name | ATEFEH REZAEI BOROUN |
| Practice Address |
13600 Baltimore Ave Ste 200 Laurel MD 20707-9495 |
| Mailing Address |
113 Ellington Blvd Apt 417 Gaithersburg MD 20878-4529 |
| Practice Telephone | 3014702137 |
| Mailing Telephone | 7039849903 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
17161 | MD | Dental Providers |
| Street Address |
13600 BALTIMORE AVE STE 200 |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-9495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114486230 | Dentistry for Children of Maryland, LLC | Clinic/Center | 13600 Baltimore Ave Ste 200, Laurel, MD 20707-9495 | 2019-03-18 |
| 1043863186 | Family Orthodontics of Maryland LLC | Dentist | 13600 Baltimore Ave Ste 200, Laurel, MD 20707-9495 | 2019-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508359340 | Legendary Orthodontics, LLC | Dentist | 3225 Audubon Dr, Laurel, MS 39440-1422 | 2018-06-06 |
| 1922214261 | Robert G Ray | Dentist | 918 Fairlawn Ave, Laurel Shopping Center, Laurel, MD 20707-4806 | 2007-05-15 |
| 1104043611 | David Osburn Hughes Sr. | Dentist | 140 S 15th Ave, Laurel, MS 39440-4124 | 2007-04-19 |
| 1023142171 | Jeffrey Stuart Leblanc | Dentist | 1500 W 12th St, Laurel, MS 39440-2654 | 2007-03-14 |
| 1407839244 | Alan R Heller | Dentist | 9811 Mallard Dr Ste 201, Laurel, MD 20708-3199 | 2005-11-25 |
| 1043863186 | Family Orthodontics of Maryland LLC | Dentist | 13600 Baltimore Ave Ste 200, Laurel, MD 20707-9495 | 2019-07-18 |
| 1215432463 | Laurel Orthodontic Associates LLC | Dentist | 3228 Old Bay Springs Rd, Laurel, MS 39440-1453 | 2018-03-29 |
| 1215275425 | Jocelyn Beville Defoe | Dentist | 14333 Laurel Bowie Rd, Ste 201, Laurel, MD 20708-1126 | 2013-01-22 |
| 1316236813 | Decker & Lavine, Dds, Pa | Dentist | 14333 Laurel Bowie Rd, Suite 201, Laurel, MD 20708-1126 | 2011-04-05 |
| 1679775753 | Robert G. Ray D.m.d PC | Dentist | 918 Fairlawn Ave, Laurel, MD 20707-4806 | 2007-06-01 |
| Find all providers in LAUREL | ||||
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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.