Provider Demographics
NPI:1992444996
Name:MIAN, UMAR H (DDS)
Entity type:Individual
Prefix:DR
First Name:UMAR
Middle Name:H
Last Name:MIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26002 STANLEY HILLS WAY
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-1207
Mailing Address - Country:US
Mailing Address - Phone:240-444-0482
Mailing Address - Fax:
Practice Address - Street 1:1650 BIGLERVILLE RD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-8031
Practice Address - Country:US
Practice Address - Phone:240-444-0482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17851122300000X
390200000X
PADS044139122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program