Provider Demographics
NPI:1699046037
Name:TODAYS DENTAL ASSOCIATES PC
Entity type:Organization
Organization Name:TODAYS DENTAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DHARANI
Authorized Official - Middle Name:
Authorized Official - Last Name:JASTHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:410-781-7188
Mailing Address - Street 1:2030 LIBERTY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6129
Mailing Address - Country:US
Mailing Address - Phone:410-781-7188
Mailing Address - Fax:410-781-0269
Practice Address - Street 1:2030 LIBERTY RD STE 1
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6129
Practice Address - Country:US
Practice Address - Phone:410-781-7188
Practice Address - Fax:410-781-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-17
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12210122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty