Provider Demographics
NPI:1679989230
Name:ZAMDDS LLC
Entity type:Organization
Organization Name:ZAMDDS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZISHAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-265-1650
Mailing Address - Street 1:9400 LIVINSTON ROAD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744
Mailing Address - Country:US
Mailing Address - Phone:301-265-1650
Mailing Address - Fax:301-248-6509
Practice Address - Street 1:9400 LIVINGSTON RD
Practice Address - Street 2:SUITE 110
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4958
Practice Address - Country:US
Practice Address - Phone:301-265-1650
Practice Address - Fax:301-248-6509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD141471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty