Provider Demographics
NPI:1902319619
Name:BAHRU S. NURE, DDS, P.C.
Entity Type:Organization
Organization Name:BAHRU S. NURE, DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BAHRU
Authorized Official - Middle Name:S
Authorized Official - Last Name:NURE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-868-5439
Mailing Address - Street 1:9009 WOODYARD RD
Mailing Address - Street 2:UNIT 103
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735
Mailing Address - Country:US
Mailing Address - Phone:301-868-5439
Mailing Address - Fax:
Practice Address - Street 1:9009 WOODYARD RD
Practice Address - Street 2:UNIT 103
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:301-868-5439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty