DR. LISA DANIEL (NPI# 1386051399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386051399 |
| Entity Type | Individual |
| Full Name | DR. LISA DANIEL |
| Other Name | LISA SAMOUGH |
| Credential | D.D.S. |
| Practice Address |
14203 Village Manor Ct Upper Marlboro MD 20774-8581 |
| Practice Telephone | 7865471103 |
| Mailing Telephone | 7865471103 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN1001492 | DC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982632865 | Lisa Dejuana Daniel | Obstetrics & Gynecology | 3223 W 63rd St, Chicago, IL 60629 | 2006-06-29 |
| 1477171080 | Lisa Daniel | Peer Specialist | 808 Fir St, T Or C, NM 87901-1724 | 2020-07-09 |
| 1215200225 | Lisa M Daniel | Behavioral Analyst | 1625 Adventureland Dr, Suite B, Altoona, IA 50009-2237 | 2012-02-22 |
| 1568734945 | Lisa J Daniel | Counselor | 204 Cook Rd, Lebanon, OH 45036-9600 | 2012-02-01 |
| 1659526143 | Lisa Ann Daniel | Dental Hygienist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2008-11-25 |
| 1245363266 | Lisa Allison Daniel | Social Worker | 1820 Memorial Dr Ste 101, Suite 3, Clarksville, TN 37043-4693 | 2007-03-13 |
| 1457443491 | Lisa B. Daniel | Optometrist | 1955 Opelika Rd, Auburn, AL 36830-2811 | 2006-09-28 |
| 1356445860 | Lisa Daniel | Emergency Medicine | 4000 Kresge Way, Louisville, KY 40207-4605 | 2006-09-13 |
| 1922116078 | Lisa Daniel | Social Worker | 10710 Old Highway 64, Bolivar, TN 38008-3587 | 2006-08-28 |
| 1235190778 | Lisa Ann Daniel | Registered Nurse | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2006-03-31 |
| Street Address |
14203 VILLAGE MANOR CT |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-8581 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421330 | Aspen Hill Implant & Family Dentistry, P.c | Dentist | 1401 Mercantile Ln # 583, Upper Marlboro, MD 20774-4301 | 2020-09-14 |
| 1740806702 | Sarah A So | Dentist | 14446 Old Mill Rd # 101, Upper Marlboro, MD 20772-3086 | 2020-06-24 |
| 1285068692 | Family Dentistry of Melwood LLC | Dentist | 9680 Marlboro Pike, Upper Marlboro, MD 20772-3670 | 2013-08-21 |
| 1902108897 | Keith Felix Theodore | Dentist | 16729 Queen Anne Rd, Upper Marlboro, MD 20774-8754 | 2010-11-26 |
| 1538478227 | Yc Roh, Dmd, Pa | Dentist | 7611 S Osborne Rd Ste 104, Upper Marlboro, MD 20772-4200 | 2010-09-29 |
| 1154584233 | Ashish Rastogi | Dentist | 9682 Marlboro Pike, Upper Marlboro, MD 20772-3670 | 2008-07-08 |
| 1801068085 | Upper Marlboro Family Dentistry | Dentist | 9614 Marlboro Pike, Upper Marlboro, MD 20772-3670 | 2008-03-28 |
| 1851418826 | Yoonchul Roh | Dentist | 14446 Old Mill Rd, Suite 101, Upper Marlboro, MD 20772-3086 | 2007-03-23 |
| 1275678609 | Rashad M Jefferson | Dentist | 7703 Crain Highway, Upper Marlboro, MD 20772-4953 | 2007-02-21 |
| 1801933890 | Watts Dental Associates | Dentist | 7611 S Osborne Rd Ste 102, Upper Marlboro, MD 20772-4238 | 2007-01-31 |
| Find all providers in UPPER MARLBORO | ||||
| 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.