Individual
KIRSTIE NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 OLNEY SANDY SPRING RD, OLNEY, MD 20832-1408
(240) 665-5485
Mailing address
901 BRICK MANOR CIR, SILVER SPRING, MD 20905-3818
(540) 623-6415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16730
MD
122300000X
Dentist
25626
FL
1223G0001X
General Practice Dentistry
101948
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2016
Last updated
03/21/2026
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