Provider Demographics
NPI:1205719531
Name:HEMMATIAN DENTAL ASSOCIATES
Entity type:Organization
Organization Name:HEMMATIAN DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMMATIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-854-7103
Mailing Address - Street 1:
Mailing Address - Street 2:
Mailing Address - City:
Mailing Address - State:
Mailing Address - Zip Code:
Mailing Address - Country:
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1160 VARNUM STREET NE
Practice Address - Street 2:SUITE 006
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017
Practice Address - Country:US
Practice Address - Phone:202-854-7103
Practice Address - Fax:202-635-7104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty