Provider Demographics
NPI:1316353071
Name:HASHEMI, ROBERT (DMD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:HASHEMI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7360 GUILFORD DRIVE
Mailing Address - Street 2:SUITE #102
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704
Mailing Address - Country:US
Mailing Address - Phone:301-668-2662
Mailing Address - Fax:301-668-6131
Practice Address - Street 1:7360 GUILFORD DRIVE
Practice Address - Street 2:SUITE #102
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704
Practice Address - Country:US
Practice Address - Phone:301-668-2662
Practice Address - Fax:301-668-6131
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD164551223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry