DAL DERMATOLOGY, INC. (NPI# 1689950610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689950610 |
| Entity Type | Organization |
| Organization Name | DAL DERMATOLOGY, INC. |
| Other Organization Name | DAMASCUS DERMATOLOGY & SKIN SURGERY CENTER |
| Practice Address |
26215 Ridge Rd Damascus MD 20872-1829 |
| Mailing Address |
8510 Beech Tree Rd Bethesda MD 20817-2949 |
| Practice Telephone | 3012531100 |
| Practice Fax Number | 3018255163 |
| Mailing Telephone | 3012531100 |
| Mailing Fax Number | 3018255163 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | DR. DAVID ALVIN LEE (DERMATOLOGIST) |
| Authorized Official Telephone | 3012531100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
D0071594 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Damascus Dermatology & Skin Surgery Center | Doing Business As Name - Organization |
| Street Address |
26215 RIDGE RD |
| City | DAMASCUS |
| State | MD |
| Zip Code | 20872-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427263441 | David Alvin Lee | Dermatology | 26215 Ridge Rd, Damascus, MD 20872-1829 | 2007-05-12 |
| 1497130801 | Alexa Littlejohn | Nurse Practitioner | 26215 Ridge Rd, Damascus, MD 20872-1829 | 2015-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072601 | Jayesh N Patel | Pharmacist | Weis Pharmacy, 26075 S. Ridge Rd, Damascus, MD 20872 | 2018-11-26 |
| 1396264834 | Perfect Balance Counseling Services, LLC | Counselor | 28201 Clarksburg Road, Damascus, MD 20872 | 2017-09-15 |
| 1972900520 | Heather Clark | Family Medicine | 9815 Main St Ste 208, Damascus, MD 20872 | 2014-11-25 |
| 1669819991 | Teicher Nicole Agosto | Pharmacist | 25613 Coltrane Drive, Damascus, MD 20872 | 2013-05-28 |
| 1295178663 | Cherifath Imelda Akimey Amadou Kiki | Home Health Aide | 2705 Nicholson Street Apt 302, Hyattsville, MD 20872 | 2013-04-16 |
| 1013297084 | Vera Bong Sangbong | Pharmacist | 9807 Main Street, Damascus, MD 20872 | 2011-08-23 |
| 1881736502 | Graciano P Gancayco | Pediatrics | 9701 New Church St., Damascus, MD 20872 | 2007-02-12 |
| 1700961893 | Richard J Schoeb Dds Chtd | Dentist | 9701 New Church St, Suite 9, Damascus, MD 20872 | 2006-10-26 |
| 1508838111 | Frank H Lewis Dds LLC | Dentist | 9899 Main St, Suite 200, Damascus, MD 20872 | 2006-02-07 |
| 1952303604 | Theresa D Poepperling | Midwife | 26005 Ridge Road, Suite 200, Damascus, MD 20872 | 2005-08-12 |
| Find all providers in zip 20872 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891267936 | Beckley Dermatology Inc. | Dermatology | 1110 Professional Ct Ste 201, Hagerstown, MD 21740-5945 | 2018-12-31 |
| 1518480136 | Forefront Dermatology, S.c. | Dermatology | 8134 Old Georgetown Rd, Bethesda, MD 20814 | 2017-07-25 |
| 1407014913 | Zaineb H Makhzoumi | Dermatology | 419 West Redwood Street, Suite 260, Baltimore, MD 21201 | 2008-05-30 |
| 1003002163 | Charles County Surgical Associates, LLC | Dermatology | 4225 Altamont Pl Unit 3, White Plains, MD 20695-3063 | 2007-09-21 |
| 1164458873 | Eric Finzi | Dermatology | 7701 Greenbelt Rd, 504, Greenbelt, MD 20770-2037 | 2006-06-24 |
| 1982670980 | Andrew Denis Montemarano | Dermatology | 6410 Rockledge Drive, Suite 300, Bethesda, MD 20817-7811 | 2006-02-28 |
| 1720059736 | David S Mezebish | Dermatology | 9711 Medical Center Dr Ste 307, Rockville, MD 20850-3385 | 2006-01-28 |
| 1942282371 | Michael Rebert Warner | Dermatology | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4384 | 2005-11-21 |
| 1659900850 | Cronin Dermatology and Skin Cancer | Dermatology | 5530 Wisconsin Ave Ste 1418, Chevy Chase, MD 20815-4302 | 2020-04-08 |
| 1821582917 | Charles B Toner Md Pa | Dermatology | 9131 Piscataway Rd Ste 550, Clinton, MD 20735 | 2018-06-21 |
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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.