Dr. Kiumars Elyasi , DDS
Dentist - General Practice • Jessup, MD
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kiumars Elyasi has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kiumars Elyasi, DDS was a registered Dentist - General Practice practicing in Jessup, MD. Throughout an active medical career spanning 1 years, Dr. Elyasi provided care at the practice location at 8450 DORSEY RUN RD until profile deactivation on 2006-03-24.
Practice Location & Contact Primary Location
8450 Dorsey Run Rd
Jessup, MD 207949486
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Jessup, MD
Practicing in Jessup, MD (2555 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Occupational Therapist
Occupational Therapist Registered, L
Social Worker - Clinical
Social Worker
Licensed Master Social Worker
Student in an Organized Health Care Education/Training Program
Doctor of Medicine (M.D.)
Social Worker - Clinical
Licensed Clinical Social Worker - Certified
Social Worker - Clinical
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 8450 DORSEY RUN RD, JESSUP, MD 207949486 (Tel: 4107243153)
Registered at 2023 GEORGE WASHINGTON RD, VIENNA, VA 221823711 (Tel: 7037342023)
Recorded as KIUMARS ELYASI, D.D.S.
Dentist (License #10612 in MD)
Record officially reactivated for active practice on April 05, 2006
Record deactivated on March 24, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2023 George Washington Rd
Vienna, VA 221823711
Phone: 7037342023
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