DR. KENNETH SAYRE GOLDBLATT (NPI# 1205069382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205069382 |
| Entity Type | Individual |
| Full Name | DR. KENNETH SAYRE GOLDBLATT |
| Credential | DDS |
| Practice Address |
19531 Doctors Dr Germantown MD 20874-5262 |
| Practice Telephone | 3015408844 |
| Practice Fax Number | 3015408845 |
| Mailing Telephone | 3015408844 |
| Mailing Fax Number | 3015408845 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4411 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720019052 | Kenneth H Goldblatt | Internal Medicine | 5 Plainsboro Road, Suite 300, Plainsboro, NJ 08536 | 2006-07-05 |
| Street Address |
19531 DOCTORS DR |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-5262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063785517 | Richard M. Williams, LLC. | Dentist | 19531 Doctors Dr, Germantown, MD 20874-5262 | 2012-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356508493 | James Michael Ryan | Dentist | 19851 Observation Dr Ste 320, Germantown, MD 20876-4143 | 2008-05-16 |
| 1548369507 | Peter Liashek Jr. | Dentist | 19717 Executive Park Cir, Germantown, MD 20874-2639 | 2006-09-22 |
| 1699162701 | Zachary Daniel Saltman | Dentist | 19717 Executive Park Cir, Germantown, MD 20874-2639 | 2015-04-16 |
| 1386081594 | Ww Oral Surgery, LLC | Dentist | 19717 Executive Park Cir, Germantown, MD 20874-2639 | 2013-05-29 |
| 1063785517 | Richard M. Williams, LLC. | Dentist | 19531 Doctors Dr, Germantown, MD 20874-5262 | 2012-02-14 |
| 1760531974 | Germantown-bartlett Oral Surgery Group, )p.c. | Dentist | 2136 Exeter Rd, Suite 202, Germantown, TN 38138-3922 | 2007-01-09 |
| 1780779876 | Stephen J. Maroda Jr. | Dentist | 2136 Exeter Rd, Suite 202, Germantown, TN 38138-3922 | 2006-10-04 |
| 1770678807 | Kenneth Marcus Hopkins | Dentist | 2136 Exeter Rd, Suite 202, Germantown, TN 38138-3922 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508490707 | Carl Ruderman Dds LLC | Dentist | 6309 Baltimore Ave Ste 202, Riverdale, MD 20737-1059 | 2020-02-26 |
| 1740810845 | Akeso Columbia Office LLC | Dentist | 6798 Oak Hall Ln Ste A-1, Columbia, MD 21045-4892 | 2020-01-17 |
| 1245742741 | Akeso Orafacial Maxillary Surgery | Dentist | 7544 Belair Road, Nottingham, MD 21236 | 2017-10-25 |
| 1710436407 | Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC | Dentist | 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 | 2016-09-23 |
| 1356726301 | Jak LLC | Dentist | 352 Thompson Creek Mall, Stevensville, MD 21666-2500 | 2015-07-20 |
| 1548661614 | Ib Dental II, P.C. | Dentist | 30a Audrey Lane, Oxon Hill, MD 20745-1301 | 2014-09-09 |
| 1457764052 | Xun Joy Chen | Dentist | 15005 Shady Grove Rd Ste 420, Rockville, MD 20850-6321 | 2014-06-11 |
| 1164848370 | Maryland Oral Surgery Associates of Frederick, LLC | Dentist | 161 Thomas Johnson Dr Ste 295, Frederick, MD 21702-4314 | 2014-03-12 |
| 1013345511 | The Oral Surgery Center At Mitchellville | Dentist | 12164 Central Ave Ste 224, Mitchellville, MD 20721-1903 | 2013-10-17 |
| 1992142806 | Nkemakonam Egolum | Dentist | 4175 N Hanson Ct Ste 200, Bowie, MD 20716 | 2013-05-31 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
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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.