BAHAR BOROUMAND RAD DDS
NPI 1760226591
Dentist - Pediatric Dentistry in Princess Anne, MD

Active since June 25, 2024
12165 ELM ST, PRINCESS ANNE, MD 21853(410) 651-5151(410) 651-5151 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bahar Boroumand Rad Dds NPPES

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

BAHAR BOROUMAND RAD DDS (NPI 1760226591) is an individual pediatric dentistry provider in Princess Anne, Maryland, licensed in Maryland (LL928) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1760226591
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameBAHAR BOROUMAND RADCredential: DDS
Location Address12165 ELM STPrincess Anne, MD 21853-1358
Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654
Fax(410) 651-5151
Sole ProprietorNo
Enumeration DateJune 25, 2024
NPPES CertifiedJune 25, 2024
NPI 1760226591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in MD · LL928
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
12165 ELM ST, Princess Anne, MD 21853

Other Identifiers 1

Medicaid119591300MD

Other Providers at the Same Location NPPES 20

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

Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bahar Boroumand Rad's NPI number?

The NPI number for Bahar Boroumand Rad is 1760226591. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Bahar Boroumand Rad located?

Bahar Boroumand Rad practices at 12165 Elm St, Princess Anne, MD 21853. The listed phone number is (410) 651-5151.

What is Bahar Boroumand Rad's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Bahar Boroumand Rad was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.