Maryam Roosta
Dentist - General Practice
9335 Baltimore National Pike
Ellicott City
, Maryland 21042-2801
Maryam Roosta
Dentist - General Practice
9335 Baltimore National Pike
Ellicott City
, Maryland 21042-2801
(410) 900-6541
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Maryam Roosta
- 5920 Great Star Dr Unit 403
- Clarksville, MD
- Zip : 21029-1362
- Phone : (410) 900-6541
Second Address
- Maryam Roosta
- 9335 Baltimore National Pike
- Ellicott City, MD
- Zip : 21042-2801
- Fax : (410) 465-2057
- Phone : (410) 465-1214
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FAQs
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Is Maryam Roosta a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 15517 | MD |
| Y | 213EG0000X | General Practice | 15517 | MD |
National Provider Identifier
| NPI | 1003233156 |
|---|---|
| Provider Name | Maryam Roosta |
| First Address | Clarksville, MD 21029-1362 |
| Second Address | Ellicott City, MD 21042-2801 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2014 |
| Last Update Date | 05/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.