Individual provider · Type 1 NPI
Mitra Derakhshan, DDS MS
Orthodontics and Dentofacial Orthopedics Dentistry · Ellicott City, MD
Practice location
5082 Dorsey Hall Dr Ste 202
Ellicott City, MD 21042-7754
Mailing address
794 Grant St
Herndon, VA 20170-4631
Other practice locations
- 5820 Clarksville Square Dr Ste 104, Clarksville, MD 21029-1856 · (202) 445-4972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DEN1000677 (DC) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 49090 (CA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 12731 (MD) |
Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…
3 other providers at this address
- Kathleen Lynott DDS MDS LLCOrthodontics and Dentofacial Orthopedics Dentistry Ellicott City, MD NPI 1790689693
- Kathleen Lynott, DDS, MDSOrthodontics and Dentofacial Orthopedics Dentistry Ellicott City, MD NPI 1730945072
- Sandra E. Selnick, DDS MSOrthodontics and Dentofacial Orthopedics Dentistry Ellicott City, MD NPI 1154486280
Other orthodontics and dentofacial orthopedics dentistry providers in Ellicott City
- Sandra E. Selnick, DDS MSOrthodontics and Dentofacial Orthopedics Dentistry Ellicott City, MD NPI 1154486280
- Alfred J. Maskeroni, DDSOrthodontics and Dentofacial Orthopedics Dentistry Ellicott City, MD NPI 1245392679
- Maxine Villiers Clark, DDSOrthodontics and Dentofacial Orthopedics Dentistry Ellicott City, MD NPI 1386865137
- Christopher Jason Scott, DDSOrthodontics and Dentofacial Orthopedics Dentistry Ellicott City, MD NPI 1487146353
- Michael Pantos, D.M.DOrthodontics and Dentofacial Orthopedics Dentistry Ellicott City, MD NPI 1487715132
- Lawrence WangOrthodontics and Dentofacial Orthopedics Dentistry Ellicott City, MD NPI 1578954780
- Kevin Matthew Barnes, DDSOrthodontics and Dentofacial Orthopedics Dentistry Ellicott City, MD NPI 1669220125
- Kathleen Lynott, DDS, MDSOrthodontics and Dentofacial Orthopedics Dentistry Ellicott City, MD NPI 1730945072
About NPI 1962916783
Mitra Derakhshan, DDS MS's National Provider Identifier is 1962916783, issued on Dec 1, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Ellicott City, MD. The record was last updated on Mar 17, 2018.