STELLAR DENTAL HYATTSVILLE, LLC (NPI# 1730435348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730435348 |
| Entity Type | Organization |
| Organization Name | STELLAR DENTAL HYATTSVILLE, LLC |
| Practice Address |
5813 Eastern Ave Hyattsville MD 20782-2201 |
| Practice Telephone | 3018531567 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |
| Authorized Official Name | DR. ALLEN GOTORA (DEO) |
| Authorized Official Telephone | 3018531567 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | STELLAR DENTAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
14892 | MD | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14124 | MD | Dental Providers |
| Street Address |
5813 EASTERN AVE |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20782-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633049 | Ermias A Semaie | Dentist | 5813 Eastern Ave, Hyattsville, MD 20782-2201 | 2018-06-15 |
| 1538691266 | Elaria Ibrahim Ghobrial | Dentist | 5813 Eastern Ave, Hyattsville, MD 20782-2201 | 2017-03-31 |
| 1821495714 | Stellar Dental of Hyattsville, LLC | Dentist | 5813 Eastern Ave, Hyattsville, MD 20782-2201 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712254 | Covenant Cosmetic & Wellness Center | Clinic/Center | 3415 Hamilton Street, Suite 5, Hyattsville, MD 20782 | 2020-08-26 |
| 1174146807 | Scort Achah | Home Health Aide | 2572 Queens Chapel Road, #4, Hyattsville, MD 20782 | 2020-05-28 |
| 1679130215 | Kla Vision, P.C. | Optometrist | 3500 East-west Highway, Hyattsville, MD 20782 | 2019-05-20 |
| 1417431677 | Visurraga Enterprises LLC | Nurse Anesthetist, Certified Registered | 4112 E West Hwy, Hyattsville, MD 20782 | 2018-09-24 |
| 1134605876 | Melinda Merricks | Behavioral Analyst | 5901 31st Ave, Apt. 203, Hyattsville, MD 20782 | 2018-07-16 |
| 1457849093 | Prince George's County Health Department | Clinic/Center | 7000 Adelphi Road, Hyattsville, MD 20782 | 2018-04-30 |
| 1922527134 | Amenan Marie Paule Yao | Home Health Aide | 7009 Highview Ter Apt 202, Hyattsville, MD 20782 | 2017-09-19 |
| 1558886358 | Emilia Domingez De Urena | Home Health Aide | 6700 Belcrest Road, Hyattsville, MD 20782 | 2017-08-14 |
| 1184176851 | Prince George's Hospital Center | Student in an Organized Health Care Education/Training Program | 3500 Dean Drive, Apt K3, Hyattsville, MD 20782 | 2016-10-28 |
| 1992257927 | Johanna Arias-bonilla | Social Worker | 2970 Belcrest Center Drive Unit 301, Hyattsville, MD 20782 | 2016-10-25 |
| Find all providers in zip 20782 | ||||
| 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 |
|---|---|---|---|---|
| 1770127292 | Rochelle Janice Renwick-curtis | Dentist | 3331 Toledo Ter Ste 106, Hyattsville, MD 20782-8156 | 2019-10-29 |
| 1598147571 | Maryam Aftab | Dentist | 3114 Queens Chapel Rd, Hyattsville, MD 20782-3665 | 2015-06-25 |
| 1861757940 | Lindsey Jean Pedersen | Dentist | 3601 E West Hwy, Suite 15, Hyattsville, MD 20782-2060 | 2012-07-05 |
| 1235498882 | Neibauer Dental Care, PC | Dentist | 3601 E West Hwy # A3, Hyattsville, MD 20782-2060 | 2012-05-16 |
| 1881903458 | Pallavi Sinha | Dentist | 5402 Queens Chapel Rd, Hyattsville, MD 20782-3901 | 2010-09-30 |
| 1114192150 | Albert M Quashie Jr. | Dentist | 3331 Toledo Ter, Suite 308, Hyattsville, MD 20782-4152 | 2008-04-29 |
| 1053504068 | Marie Surasky | Dentist | 5310 Kenilworth Ave, Hyattsville, MD 20781 | 2007-08-22 |
| 1649492984 | Lourdes Sanchez, Dds, Pa | Dentist | 7105 Riggs Road, Hyattsville, MD 20783 | 2007-05-03 |
| 1982722690 | Michael Chandi Thomas | Dentist | 6495 New Hampshire Ave Ste 115, Hyattsville, MD 20783-3200 | 2007-03-27 |
| 1063575520 | Allan Carl Johnson | Dentist | 4605 69th Avenue, Hyattsville, MD 20784-2123 | 2006-12-18 |
| Find all providers in HYATTSVILLE | ||||
| City | HYATTSVILLE |
| Zip Code | 20782 |
Please comment or provide details below to improve the information on STELLAR DENTAL HYATTSVILLE, 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.