Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MITRA DERAKHSHAN, DDS MS
ActiveDR. MITRA DERAKHSHAN, DDS MS is a Orthodontics healthcare provider located in ELLICOTT CITY, Maryland. NPI 1962916783 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · ELLICOTT CITY, MD
Registration Details
- NPI Number
- 1962916783
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2017 (8.6642993094844 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
DEN1000677 (DC)49090 (CA)12731 (MD)
Practice Information
- Address
-
5082 DORSEY HALL DR STE 202ELLICOTT CITY, MD, 210427754Browse MD providers · Browse ZIP 21042
- Phone
- 2024454972
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in ELLICOTT CITY, MD
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL PANTOS | D.M.D | 1487715132 |
| DR. ALFRED J MASKERONI | DDS | 1245392679 |
| SANDRA E SELNICK | DDS MS | 1154486280 |
| DR. VICTORIA MARY SWITZER | DDS MS | 1780708966 |
| DR. MAXINE VILLIERS CLARK | D.D.S. | 1386865137 |
| DR. FREDERICK ARTHUR SCHOENBRODT | DDS | 1912100892 |
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.