FDC-DDS PC (NPI# 1669779518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669779518 |
| Entity Type | Organization |
| Organization Name | FDC-DDS PC |
| Other Organization Name | FAMILY DENTAL CENTER |
| Practice Address |
4644 Ridge Rd Mount Airy MD 21771-8901 |
| Practice Telephone | 4108752323 |
| Practice Fax Number | 4108752323 |
| Mailing Telephone | 4108752323 |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |
| Authorized Official Name | DR. SONIA ELISABETH CLESNER (DENTIST/OWNER) |
| Authorized Official Telephone | 4108752323 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8011 | MD | Dental Providers |
| Other Name | Type Code |
|---|---|
| Family Dental Center | Doing Business As Name - Organization |
| Street Address |
4644 RIDGE RD |
| City | MOUNT AIRY |
| State | MD |
| Zip Code | 21771-8901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982849824 | Sonia Elisabeth Clesner | Dentist | 4644 Ridge Rd, Mount Airy, MD 21771-8901 | 2008-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
| 1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
| 1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
| 1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
| 1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
| 1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
| Find all providers in zip 21771 | ||||
| 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 |
|---|---|---|---|---|
| 1649685637 | Niraj Pradip Patel | Dentist | 1311 S Main St Ste 203, Mount Airy, MD 21771-5457 | 2014-06-27 |
| 1811336746 | Beale Mckenzie Sumner IIi | Dentist | 1124 S South St, Mount Airy, NC 27030-5332 | 2013-06-25 |
| 1982849824 | Sonia Elisabeth Clesner | Dentist | 4644 Ridge Rd, Mount Airy, MD 21771-8901 | 2008-12-06 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1497876015 | Grayson Bennett Smith Jr. | Dentist | 933 Old Rockford Street, Suite 7, Mount Airy, NC 27030-5356 | 2007-04-02 |
| 1376685610 | Phillip B Brintle | Dentist | 1284 Newsome St, Mount Airy, NC 27030-5442 | 2007-02-13 |
| 1023034055 | Larry Dean Simmons | Dentist | 1007 Rockford St, Suite 1, Mount Airy, NC 27030-5325 | 2006-07-14 |
| 1538776455 | Lane and Associates Xxxix | Dentist | 1007 Rockford St, Mount Airy, NC 27030-5325 | 2020-09-24 |
| 1336315266 | John Kevin Brooks | Dentist | 216 S Main St, Mount Airy, MD 21771-5317 | 2008-04-30 |
| 1871776088 | John L. Gravitte, D.d.s., P.a. | Dentist | 202 Rawley Ave, Mount Airy, NC 27030-3530 | 2007-12-11 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 21771 |
Please comment or provide details below to improve the information on FDC-DDS PC.
| 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.