Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073009767 Individual Practitioner Male Practitioner

Dr. Armin Boutehsaz , DDS

Dentist • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Dr. Armin Boutehsaz, DDS is a registered healthcare professional specializing in Dentist in Baltimore, MD. Practice services are available at 1253 W PRATT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1253 W Pratt St

Baltimore, MD 212232684

Telephone 4107274746
Fax 4107276767
Associated Practice Facility / Clinic
🏢 Ronald B Montano Dds Pc Facility NPI 1629251228

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
296 Specialists

Practicing in Baltimore, MD (1975 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MD 16564

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
767008700 (MD)
Commercial Insurance / Payer ID Ada
965375292

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1245476068

Doctor of Optometry

Dr. Alva Smith , DDS

Dentist - General Practice

NPI 1326260506

Doctor of Dental Surgery

Dr. Dawn Abousy , DDS

Dentist - General Practice

NPI 1578645503

Doctor of Dental Surgery

Dr. Suzanne Motwaly , DDS

Dentist - General Practice

NPI 1629484753

Doctor of Dental Surgery

Dr. Hae Young Eom , DMD

Dentist - General Practice

NPI 1740619691

Doctor of Dental Medicine

Dr. Trenton Davidheiser , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1780202358

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 13, 2019

Registered at 1253 W PRATT ST, BALTIMORE, MD 212232684 (Tel: 4107274746)

📍
Updated Practice Location July 16, 2018

Registered at 1253 W PRATT ST, BALTIMORE, MD 21223 (Tel: 4107274746)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2018

Dentist (License #16564 in MD)

NPI Profile Active July 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2018

Registered at 1253 W PRATT ST, BALTIMORE, MD 212232684 (Tel: 4107274746)

📍
Updated Business Mailing Address July 05, 2018

Registered at 2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 809098009 (Tel: 7195761850)

👤
Provider Name / Credentials Updated July 05, 2018

Recorded as ARMIN BOUTEHSAZ, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 05, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073009767
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2018
Last Update: September 18, 2019
Sole Proprietor: Yes

Mailing Address

2221 E Bijou St Ste 100

Colorado Springs, CO 809098009

Phone: 7195761850

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.