Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mitra Derakhshan, DDSMS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1962916783

Dr. Mitra Derakhshan, DDSMS is an Orthodontics and Dentofacial Orthopedics Dentistry in Ellicott City, Maryland. Works from 2 locations. Licensed in California, District of Columbia and Maryland.

Licensed in
CA, DC, MD
In the registry since
2017
Specialties on file
3

Practice location Address checks out

5082 Dorsey Hall Dr Ste 202
Ellicott City, MD 21042-7754
Phone: (202) 445-4972
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5820 Clarksville Square Dr Ste 104, Clarksville, MD 21029-1856 — (202) 445-4972

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 12731 (MD)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence DEN1000677 (DC)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 49090 (CA)

Record details

NPI number1962916783
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDSMS
Sole proprietorNo
NPI enumeratedDecember 1, 2017
Last updated in NPPESMarch 17, 2018
Mailing address794 Grant St, Herndon, VA 20170-4631

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