Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MOHAMMAD - IZADIDEHKORDI, D.D.S
Active Sole ProprietorDR. MOHAMMAD - IZADIDEHKORDI, D.D.S is a Orthodontics healthcare provider located in TIMONIUM, Maryland. NPI 1164440608 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · TIMONIUM, MD
Registration Details
- NPI Number
- 1164440608
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.043044395725 yrs)
- Last Updated
- Nov 5, 2021
- Licenses
-
11080 (MD)0401008006 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12209 TULLAMORE RDTIMONIUM, MD, 210937816Browse MD providers · Browse ZIP 21093
- Phone
- 4105600360
- Fax
- 4105600364
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in TIMONIUM, MD
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS W BARRON | D.M.D, M.S. | 1285755660 |
| DR. ANNA YERMOLAYEVA | DMD | 1538844238 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.