Reiaz Ben Ali
Periodontist
7900 Old Branch Ave Suite 209
Clinton
, Maryland 20735
Reiaz Ben Ali
Periodontist
7900 Old Branch Ave Suite 209
Clinton
, Maryland 20735
(301) 868-1947
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Reiaz Ben Ali
- 7900 Old Branch Ave Suite 209
- Clinton, MD
- Zip : 20735
- Fax : (301) 868-1947
- Phone : (301) 856-1200
Second Address
- Reiaz Ben Ali
- 7900 Old Branch Ave Suite 209
- Clinton, MD
- Zip : 20735
- Fax : (301) 868-1947
- Phone : (301) 856-1200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 11360 | MD |
National Provider Identifier
| NPI | 1104066257 |
|---|---|
| Provider Name | Reiaz Ben Ali |
| First Address | Clinton, MD 20735 |
| Second Address | Clinton, MD 20735 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2009 |
| Last Update Date | 25/05/2021 |
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.