DR. TRACY KINOL (NPI# 1215275326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215275326 |
| Entity Type | Individual |
| Full Name | DR. TRACY KINOL |
| Credential | D.M.D. |
| Practice Address |
12520 Prosperity Dr Suite 300 Silver Spring MD 20904-1664 |
| Practice Telephone | 3019898994 |
| Practice Fax Number | 3019892434 |
| Mailing Telephone | 3019898994 |
| Mailing Fax Number | 3019892434 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12829 | MD | Dental Providers |
| Street Address |
12520 PROSPERITY DR SUITE 300 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740495696 | Dr. Martin L. Okun | Dentist | 12520 Prosperity Dr, Suite 340, Silver Spring, MD 20904-1664 | 2007-05-14 |
| 1891147534 | The Pediatric Development Center, LLC | Physical Therapist | 12520 Prosperity Dr, Silver Spring, MD 20904-1664 | 2016-07-06 |
| 1396145645 | Steven K Tan | Dentist | 12520 Prosperity Dr, Suite 300, Silver Spring, MD 20904-1664 | 2014-08-23 |
| 1275828287 | Sarah Catherine Moriarty | Dentist | 12520 Prosperity Dr, Suite 300, Silver Spring, MD 20904-1664 | 2011-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891186664 | Age One Pediatric Dentistry | Dentist | 8630 Fenton St Ste 710, Silver Spring, MD 20910-3824 | 2015-02-13 |
| 1558350298 | Hamid Tofigh | Dentist | 14301 Layhill Rd, Silver Spring, MD 20906-1937 | 2005-10-16 |
| 1174026934 | Washington Pediatric Dental | Dentist | 8630 Fenton St Ste 718, Silver Spring, MD 20910-3812 | 2018-03-17 |
| 1710438601 | Age One Pediatric Dentistry | Dentist | 8611 2nd Ave, Suite 201, Silver Spring, MD 20910-3372 | 2016-10-17 |
| 1649674599 | Smile Care 4 Children | Dentist | 2730 University Blvd W, Suite #1010, Silver Spring, MD 20902-1905 | 2014-10-20 |
| 1396145645 | Steven K Tan | Dentist | 12520 Prosperity Dr, Suite 300, Silver Spring, MD 20904-1664 | 2014-08-23 |
| 1275828287 | Sarah Catherine Moriarty | Dentist | 12520 Prosperity Dr, Suite 300, Silver Spring, MD 20904-1664 | 2011-06-17 |
| 1679702765 | Tiffany D Gavin | Dentist | 2415 Musgrove Rd, Suite 301, Silver Spring, MD 20904-5200 | 2009-07-09 |
| 1962665257 | Children & Adolescent Dentistry | Dentist | 831 University Blvd E, Suit 36b, Silver Spring, MD 20903-2916 | 2008-07-07 |
| 1942409065 | Julie Lin | Dentist | 2415 Musgrove Rd, 301, Silver Spring, MD 20904-5200 | 2007-07-18 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
Please comment or provide details below to improve the information on DR. TRACY KINOL.
| 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.