CCDC PROFESSIONALS, LLC (NPI# 1285184218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285184218 |
| Entity Type | Organization |
| Organization Name | CCDC PROFESSIONALS, LLC |
| Other Organization Name | CAPITAL CHILDREN'S DENTAL CENTER |
| Practice Address |
1220 Caraway Ct Ste 1050 Upper Marlboro MD 20774-5338 |
| Practice Telephone | 3014943000 |
| Practice Fax Number | 3014943333 |
| Mailing Telephone | 3014943000 |
| Mailing Fax Number | 3014943333 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | DR. JOSEPH AARON FIELD (PRESIDENT) |
| Authorized Official Telephone | 3014943000 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DDS57105 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1023307055 | 01 |
| Other Name | Type Code |
|---|---|
| Capital Children's Dental Center | Doing Business As Name - Organization |
| Street Address |
1220 CARAWAY CT STE 1050 |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-5338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578030193 | Sandman, LLC | Nurse Anesthetist, Certified Registered | 1220 Caraway Ct Ste 1050, Upper Marlboro, MD 20774-5338 | 2018-11-01 |
| 1316484447 | Capital Children's Healthcare | Clinic/Center | 1220 Caraway Ct Ste 1050, Upper Marlboro, MD 20774-5338 | 2017-01-26 |
| 1659817781 | Capital Children's Surgical Center, LLC | Clinic/Center | 1220 Caraway Ct Ste 1050, Upper Marlboro, MD 20774-5338 | 2017-01-12 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023424884 | Crystal Curtis | Dentist | 34 Watkins Park Dr, Upper Marlboro, MD 20774-1628 | 2014-07-01 |
| 1386073054 | Sharon Russell Dds PC | Dentist | 9632 Marlboro Pike, Melwood Professional Center, Upper Marlboro, MD 20772-3670 | 2013-11-04 |
| 1528326386 | James Michael Chung | Dentist | 9650 Marlboro Pike, Upper Marlboro, MD 20772 | 2012-04-30 |
| 1750569315 | Robert E. Rix | Dentist | 14334 Old Marlboro Pike, Upper Marlboro, MD 20772-2840 | 2008-02-06 |
| 1780865147 | Kim Shopp Haskell | Dentist | 14414 Old Mill Rd, #101, Upper Marlboro, MD 20772-3069 | 2007-11-14 |
| 1154523090 | Sydney Benita Sowell | Dentist | 14420 Old Mill Rd Ste 101, Upper Marlboro, MD 20772-3096 | 2007-06-04 |
| 1447392592 | Leonard Herbert Bers | Dentist | 9650 Pennsylvania Ave, Upper Marlboro, MD 20772-3670 | 2007-02-13 |
| 1578620860 | Yuey Sang Moy | Dentist | 9652 Pennsylvania Ave, Upper Marlboro, MD 20772-3760 | 2007-01-03 |
| 1598829285 | Howard S. Salob D.d.s.,p.a. | Dentist | 10484 Campus Way S, Upper Marlboro, MD 20774-1387 | 2006-12-20 |
| 1740298371 | Mofolusara O Ogunfusika | Dentist | 9614 Pennsylvania Ave, Upper Marlboro, MD 20772-3670 | 2006-08-03 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on CCDC PROFESSIONALS, LLC.
| 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.