Gaithersburg Dental Associate PA
NPI 1073654133ActiveOrganization· Dentist, General Practice· Gaithersburg, MD
Dentist, General Practice in Gaithersburg, Maryland, registered in NPPES in February 2007. The authorized official on file is Mandana Goodarzi Logmanni, D.D.S., President.
Overview
| NPI | 1073654133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2007 |
| Last updated in NPPES | Apr 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 13266 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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