Bahar Boroumand Rad is a Princess Anne, Maryland based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Bahar Boroumand Rad is
LL928 for Pediatric Dentistry in Maryland. Her current practice location is
12165 Elm St, Princess Anne. Patients can reach her at
410-651-5151.
Bahar Boroumand Rad provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Bahar Boroumand Rad speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Bahar Boroumand Rad |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 12165 Elm St, Princess Anne,
Maryland, 21853-1358 |
| Phone: | 410-651-5151 |
| Fax: | 410-651-5151 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1760226591 |
| NPI Enumeration Date: | 25 Jun, 2024 |
| NPI Last Update On: | 25 Jun, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bahar Boroumand Rad are as mentioned below.
| License Number | Specialization | State | Status | |
| LL928 | Pediatric Dentistry | Maryland | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Bahar Boroumand Rad such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 119591300 | Medicaid | Maryland | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1978,
Salisbury, Maryland |
| Zip: | 21802-1978 |
| Phone Number: | 410-749-1015 |
| Fax Number: | 410-749-0654 |
Patients can reach Bahar Boroumand Rad at
12165 Elm St, Princess Anne, Maryland or can
call to book an appointment on 410-651-5151.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.