TYLER DENTAL LLC (NPI# 1093004558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093004558 |
| Entity Type | Organization |
| Organization Name | TYLER DENTAL LLC |
| Practice Address |
932 Largo Center Dr Upper Marlboro MD 20774-3704 |
| Mailing Address |
11403 Bennington Dr Upper Marlboro MD 20774-5772 |
| Practice Telephone | 3013228900 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | JERAL S TYLER (PRESIDENT) |
| Authorized Official Telephone | 3014127730 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
13898 | MD | Ambulatory Health Care Facilities |
| Street Address |
932 LARGO CENTER DR |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
| 1689231870 | Family Orthodontics of Maryland LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-05-22 |
| 1891201315 | James M Chung Dds PC | Clinic/Center | 9650 Marlboro Pike, Upper Marlboro, MD 20772 | 2017-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099782 | Michael Chang Dds PC | Clinic/Center | 16220 Frederick Rd Ste 315, Gaithersburg, MD 20877-4020 | 2020-09-24 |
| 1720694466 | Rouchon Dental | Clinic/Center | 3930 Knowles Ave Ste 302, Kensington, MD 20895-2428 | 2020-09-18 |
| 1013522184 | Niu Dentistry Towson LLC | Clinic/Center | 7801 York Rd Ste 307, Towson, MD 21204-7449 | 2020-09-15 |
| 1245844851 | Green Dentistry, LLC | Clinic/Center | 8611 2nd Ave Ste 201, Silver Spring, MD 20910-6349 | 2020-09-01 |
| 1386256931 | B. Casey Crafton Dds Ms PC | Clinic/Center | 10380 Old Columbia Rd, Columbia, MD 21046-1882 | 2020-08-17 |
| 1407474380 | Russell Park Dental Care, LLC | Clinic/Center | 963 Russell Ave Ste A, Gaithersburg, MD 20879-3287 | 2020-07-08 |
| 1992324750 | Richard L Rogers Dds Pa | Clinic/Center | 2100 Old Farm Dr Ste 1f, Frederick, MD 21702-9494 | 2020-04-13 |
| 1689206278 | Specialists In Orthodontics of Maryland 2, Pllc | Clinic/Center | 888 Bestgate Rd Ste 301, Annapolis, MD 21401-2955 | 2020-02-11 |
| 1730726449 | Sammy Noumbissi Dds Pa | Clinic/Center | 801 Wayne Ave Ste G200, Silver Spring, MD 20910-4450 | 2019-12-02 |
| 1811533839 | Dosh Dental, LLC | Clinic/Center | 3905 National Dr Ste 340, Burtonsville, MD 20866-6111 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.