KEITH LYNN MAYBERRY (NPI# 1467414508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467414508 |
| Entity Type | Individual |
| Full Name | KEITH LYNN MAYBERRY |
| Credential | DDS |
| Practice Address |
1600 W Wilson Rd Indian Head MD 20640-1400 |
| Mailing Address |
14708 Bauer Dr Rockville MD 20853-3622 |
| Practice Telephone | 3017444601 |
| Mailing Telephone | 3014608490 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS024457L | PA | Dental Providers |
| Street Address |
1600 W WILSON RD |
| City | INDIAN HEAD |
| State | MD |
| Zip Code | 20640-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494395 | Dale R Harman | Preventive Medicine | 1600 W Wilson Rd, Occupational Health Clinic, Nswc Indian Head, Indian Head, MD 20640-1400 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639664683 | The Heard Group, LLC | Clinic/Center | 6284 Hard Bargain Cir, Indian Head, MD 20640 | 2018-06-22 |
| 1154790509 | Memuna Kamara | Nurse Practitioner | 319 Munahan Circle Unit A, Indian Head, MD 20640 | 2015-09-16 |
| 1174620926 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1600 Wilson Drive, Indian Head, MD 20640 | 2006-09-20 |
| 1588646962 | John H Callahan | Physician Assistant | 17 Strauss Ave, Indian Head Division, Indian Head, MD 20640-1523 | 2005-11-18 |
| 1114064573 | Monica L Bilik | Physician Assistant | 101 Strauss Ave Bldg 901, Indian Head, MD 20640-1542 | 2007-02-01 |
| 1881654697 | Kevin F Kelley Sr. | Physician Assistant | 101 Strauss Ave, Cbirf, 2nd Mef, Indian Head, MD 20640-1542 | 2006-03-24 |
| 1750561189 | Dexter Arvange Woods | Dentist | 158 Riverwatch Dr, Indian Head, MD 20640-1558 | 2007-11-14 |
| 1649818907 | Augustina O Boadu | Non-emergency Medical Transport (VAN) | 32 Fairhill Ln, Indian Head, MD 20640-1577 | 2019-12-18 |
| 1154692630 | Rebecca I Frank-hogren | Social Worker | 36 Poplar Ln, Indian Head, MD 20640-1601 | 2012-01-16 |
| 1790129567 | Sherry Teresa Johnson | Contractor | 4045 Indian Head Hwy, Apt 5, Indian Head, MD 20640-1741 | 2013-04-24 |
| Find all providers in zip 20640 | ||||
| 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 |
|---|---|---|---|---|
| 1568061166 | Frederick Center for Dentistry, LLC | Dentist | 140 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4485 | 2020-10-23 |
| 1023617321 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 151 Bishop Murphy Dr Ste A, Frostburg, MD 21532-1476 | 2020-10-19 |
| 1427656248 | Kopit Dental Care, Pa | Dentist | 3420 Worthington Blvd Ste A, Frederick, MD 21704-7020 | 2020-10-14 |
| 1588261085 | Rejuvenation Dental LLC | Dentist | 85 High St Ste 6, Waldorf, MD 20602-2150 | 2020-10-07 |
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1992302731 | Brandy L Carullo | Dentist | 8503 Greenbelt Rd Ste T4, Greenbelt, MD 20770-2303 | 2020-10-05 |
| 1871109850 | James Bantz Wooddell Jr. | Dentist | 600 Ridgely Ave Ste 225, Annapolis, MD 21401-1089 | 2020-09-16 |
| 1003421330 | Aspen Hill Implant & Family Dentistry, P.c | Dentist | 1401 Mercantile Ln # 583, Upper Marlboro, MD 20774-4301 | 2020-09-14 |
| 1457965238 | Shalom Dental | Dentist | 5801 Allentown Rd Ste 307, Camp Springs, MD 20746-4582 | 2020-08-31 |
| 1598377921 | John Francis Battinelli | Dentist | 325 Gambrills Rd Ste C, Gambrills, MD 21054-1102 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN HEAD |
| Zip Code | 20640 |
Please comment or provide details below to improve the information on KEITH LYNN MAYBERRY.
| 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.