MOHAMMED WASSAIF HAQUE
NPI 1720764749
Dentist - General Practice in Lavale, MD

Active since June 26, 2023
12317 WINCHESTER RD SW STE 100, LAVALE, MD 21502(240) 803-3487 Get Directions Write a Review

NPPES record last updated: May 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mohammed Wassaif Haque NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMMED WASSAIF HAQUE (NPI 1720764749) is an individual general practice provider in Lavale, Maryland, licensed in Maryland (18612) and active in the NPI registry since June 2023. He maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1720764749
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMOHAMMED WASSAIF HAQUE
Location Address12317 WINCHESTER RD SW STE 100Lavale, MD 21502-6611
Mailing Address345 E 24th StNew York, NY 10010-4020 · (212) 998-9800
Sole ProprietorNo
Enumeration DateJune 26, 2023
Last NPPES UpdateMay 17, 2026
NPPES CertifiedMay 17, 2026
NPI 1720764749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MD · 18612
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

12317 WINCHESTER RD SW STE 100, Lavale, MD 21502

Secondary Practice Location 1

Location 1345 E 24th StNew York, NY 10010-4020 · Phone (212) 998-9800

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
12317 WINCHESTER RD SW STE 100
LAVALE, MD 21502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720764749, enumerated as an "individual" on June 26, 2023.

The provider is located at 12317 WINCHESTER RD SW STE 100 LAVALE, MD 21502 and the phone number is (240) 803-3487.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.