Provider Demographics
NPI:1306622014
Name:LANSDOWNE PEDIATRIC DENTISTRY
Entity type:Organization
Organization Name:LANSDOWNE PEDIATRIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEYDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGHSOUDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-728-5798
Mailing Address - Street 1:9632 FIELDS RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4738
Mailing Address - Country:US
Mailing Address - Phone:703-728-5798
Mailing Address - Fax:
Practice Address - Street 1:19415 DEERFIELD AVE STE 304
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8472
Practice Address - Country:US
Practice Address - Phone:517-210-2771
Practice Address - Fax:571-210-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty