Eitan Hariri, DDS
Dentist in Baltimore, MD. Individual provider (NPI-1).
NPI number1962395822
StatusActive
Last updated in NPPESMay 30, 2025
Details
- NPI
- 1962395822
- Entity type
- Individual (NPI-1)
- Name
- Eitan Hariri
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2025
- Certification date
- May 30, 2025
- Last updated
- May 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 18691 | MD | Yes |
Practice location
5801 Ritchie HwyBaltimore, MD 21225-3742
Phone 443-898-3077
Mailing address
6601 Amleigh RdBaltimore, MD 21209-2603
Phone 443-898-3077
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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