STELLAR DENTAL, LLC (NPI# 1467018747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467018747 |
| Entity Type | Organization |
| Organization Name | STELLAR DENTAL, LLC |
| Practice Address |
11239 Lockwood Dr Silver Spring MD 20901-4554 |
| Practice Telephone | 2402328100 |
| Mailing Telephone | 2402328100 |
| Mailing Fax Number | 2408421257 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | ALLEN GOTORA (OWNER/DOCTOR) |
| Authorized Official Telephone | 2022030230 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENSE | 14124 | 01 |
| MD | 199657 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902202211 | Stellar Dental, LLC | Dentist | 11120 New Hampshire Ave Ste 301, Silver Spring, MD 20904-2680 | 2014-11-13 |
| Street Address |
11239 LOCKWOOD DR |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20901-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801904040 | John Coviello | Dentist | 11239 Lockwood Dr, Silver Spring, MD 20901-4554 | 2006-08-28 |
| 1730256215 | Renie Madelon Gross | Dentist | 11239 Lockwood Dr, Silver Spring, MD 20901-4554 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961407 | Che Mbah | Home Health Aide | 25 East Wayne Ave 401, Silverspring, MD 20901 | 2020-01-14 |
| 1245891621 | Healing Arts Wellness LLC | Massage Therapist | Tavo Total Health, 407 Leighton Ave, Silver Spring, MD 20901 | 2019-06-26 |
| 1720643984 | Dana Hilary Bendidi | Speech-Language Pathologist | Forest Knolls Elementary School, 10830 Eastwood Avenue, Silver Spring, MD 20901 | 2019-05-03 |
| 1821579921 | Veronique Morelle Ngamgouo Nde | Home Health Aide | 8711 Arliss Street Atpt. 1, Silver Spring, MD 20901 | 2018-08-27 |
| 1598252827 | Laurel A Bryant | Massage Therapist | 10770 Columbia Pike Ste 300, Silver Spring, MD 20901 | 2018-04-23 |
| 1558861641 | Lorivi Gabrintina | Occupational Therapist | 1520 Prosperity Drive, Suite #210, Silver Spring, MD 20901 | 2018-02-15 |
| 1821503194 | Esther Nannerl Mae Nanga Biyo | Home Health Aide | 100 Croydon Ct Apt 6, Silver Spring, MD 20901 | 2017-12-08 |
| 1457878910 | Adebola B Ibirogba | Family Medicine | 209 Hartwell Road, Silver Spring, MD 20901 | 2017-08-25 |
| 1679095509 | Eleonore B Jatsa | Home Health Aide | 11200 Lockwood Drive, Apt 905, Silverspring, MD 20901 | 2017-07-12 |
| 1831554252 | Ivan Marin-soler | Psychologist | 9604 Sutherland Road, Silver Spring, MD 20901 | 2015-12-30 |
| Find all providers in zip 20901 | ||||
| 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 |
|---|---|---|---|---|
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1013564442 | Keith Mesidor | Dentist | 13401 New Hampshire Ave Ste 2, Silver Spring, MD 20904-6257 | 2019-08-21 |
| 1427617257 | Fardous M Medani | Dentist | 8380 Colesville Rd Ste 750, Silver Spring, MD 20910-6258 | 2019-06-05 |
| 1972005031 | Raquel Jakosalem Pagan | Dentist | 8201 16th St Ste 123, Silver Spring, MD 20910-3255 | 2018-03-05 |
| 1891214698 | Chessia Mathews | Dentist | 1286 E West Hwy, Silver Spring, MD 20910-3242 | 2017-09-12 |
| 1215390596 | Nima Raoufinia Dds LLC | Dentist | 8726 Georgia Ave, Silver Spring, MD 20910-3601 | 2016-04-03 |
| 1962874651 | Andrea B Rodriguez | Dentist | 11251 Lockwood Dr, Silver Spring, MD 20901-4556 | 2015-10-21 |
| 1558749457 | Sarat Mohammadu | Dentist | 1220 E West Hwy Apt 418, Silver Spring, MD 20910-3270 | 2015-05-12 |
| 1922431428 | Dental Center of Aspen Hill, LLC | Dentist | 13957 Connecticut Avenue, Suite 302, Silver Spring, MD 20906 | 2013-08-20 |
| 1801138490 | James William Borchers | Dentist | 10230 New Hampshire Ave Ste 330, Suite 330, Silver Spring, MD 20903-1418 | 2013-03-21 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20901 |
Please comment or provide details below to improve the information on STELLAR DENTAL, 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.