AMBIANCE DENTAL SPA


Address: 12500 A Fairwood Parkway, Bowie, MD 20720
Phone: 3012622624

AMBIANCE DENTAL SPA (NPI# 1508078007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508078007
Entity Type Organization
Organization Name AMBIANCE DENTAL SPA
Practice Address 12500 A Fairwood Parkway
Bowie
MD 20720
Mailing Address 14815 Dolphin Way
Bowie
MD 20721
Practice Telephone 3012622624
Mailing Telephone 3012492207
Enumeration Date 2007-05-04
Last Update Date 2020-08-22
Authorized Official Name DR. CLARINE GREEN HIGHTOWER (OWNER)
Authorized Official Telephone 2022517440
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
13170 MD Dental Providers

Office Location

Street Address 12500 A FAIRWOOD PARKWAY
City BOWIE
State MD
Zip Code 20720

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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932667367 Dhruva Atul Gurjar Dentist 4321 Collington Rd Ste 210, Bowie, MD 20716-2263 2019-03-05
1093279176 Bowie Dental Group LLC Dentist 14300 Gallant Fox Ln Ste 208, Bowie, MD 20715-4033 2019-01-23
1760924559 Emona Kraja Dentist 3060 Mitchellville Rd Ste 105, Bowie, MD 20716-3965 2016-11-09
1295098325 Margo Ree Adesanya Dentist 6911 Laurel - Bowie Rd, Suite 204, Bowie, MD 20715 2012-06-22
1285901801 Neibauer Dental Care, P.C. Dentist 6141 Highbridge Rd, Bowie, MD 20715 2011-11-28
1063655009 Daquant N Hornbeak Dentist 4000 Mitchellville Rd Ste B426, Bowie, MD 20716-3159 2009-04-07
1235320847 Alvin Elliot Lee Dentist 6808 Laurel Bowie Rd, Bowie, MD 20715-1709 2007-08-08
1336362961 Robert L St John Dentist 307 W Tarrant St, Suite C, Bowie, TX 76230 2007-04-11
1730218603 Glenn Cocoros Dentist 1522 Pointer Ridge Pl, Suite K, Bowie, MD 20716-1875 2007-03-05
1184772642 Abiodun Adesanya Dentist 6911 Laurel Bowie Rd, Suite 204, Bowie, MD 20715-1712 2007-01-08
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Competitor

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City BOWIE
Zip Code 20720

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Dataset Information

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.

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