GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER, LLC (NPI# 1770869968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770869968 |
| Entity Type | Organization |
| Organization Name | GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER, LLC |
| Other Organization Name | GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER |
| Practice Address |
19847 Century Blvd Suite 215 Germantown MD 20874-7201 |
| Practice Telephone | 3019166800 |
| Mailing Telephone | 3019166800 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |
| Authorized Official Name | FAITH GASKINS (INSURANCE PLANNING MANAGER) |
| Authorized Official Telephone | 8778757408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
13848 | MD | Dental Providers |
| Other Name | Type Code |
|---|---|
| Germantown Pediatric Dental & Orthodontic Center | Doing Business As Name - Organization |
| Street Address |
19847 CENTURY BLVD SUITE 215 |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588605950 | Open Mri of Germantown, LLC | Clinic/Center | 19847 Century Blvd, Suite D, Germantown, MD 20874-7201 | 2006-06-09 |
| 1427483882 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 19847 Century Blvd, Suite 205, Germantown, MD 20874 | 2013-09-04 |
| 1790093698 | Kathryn Reutemann | Physical Medicine & Rehabilitation | 19847 Century Blvd, 205, Germantown, MD 20874-7201 | 2010-09-14 |
| 1053645267 | Bay Area Radiologic Imaging | Radiology | 19847 Century Blvd, Suite D, Germantown, MD 20874-7201 | 2009-09-22 |
| 1710010798 | Elizabeth C. Robles Dds LLC | Dentist | 19847 Century Blvd, # 215, Germantown, MD 20874-7201 | 2007-03-13 |
| 1245363258 | Elizabeth C Robles | Dentist | 19847 Century Blvd, # 215, Germantown, MD 20874-7201 | 2007-03-13 |
| 1295742450 | James S Gardiner | Specialist | 19847 Century Blvd, Suite 205, Germantown, MD 20874-0000 | 2006-08-01 |
| 1710920061 | Progressive Neuroskeletal Imaging | Radiology | 19847 Century Blvd, Suite 275, Germantown, MD 20874-7201 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275642357 | Sandy Meade Moore IIi | Dentist | 1908 Exeter, Germantown, TN 38138-2971 | 2006-08-30 |
| 1225031214 | Deepali Bhanot | Dentist | 20400 Observation Dr, # 208, Germantown, MD 20876-4085 | 2005-05-23 |
| 1568852259 | Kids Smile | Dentist | 19735 Germantown Rd, 220, Germantown, MD 20874-1214 | 2015-02-02 |
| 1598972663 | Chad Zambon | Dentist | N112w16760 Mequon Rd, Germantown, WI 53022-5814 | 2007-05-17 |
| 1376672121 | Tannaz Poursaeid | Dentist | 19735 Germantown Rd, Suite 250, Germantown, MD 20874-1214 | 2007-03-05 |
| 1316015134 | Thomas Sungwook Kim | Dentist | 19522 Doctors Dr, Germantown, MD 20874-5200 | 2006-12-01 |
| 1720156383 | Thomas S Kim Dds Pa | Dentist | 19522 Doctors Dr, Germantown, MD 20874-5200 | 2006-12-01 |
| 1881764330 | Robert D. Testen, Dds PC | Dentist | 20500 Seneca Meadows Pkwy, # 2300, Germantown, MD 20876-7008 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295385698 | Just 4 Kidz Dentistry, LLC | Dentist | 12250 Rockville Pike Ste 200, Rockville, MD 20852-1669 | 2019-09-17 |
| 1033761960 | Caroline Larosiliere Dds and Associates | Dentist | 10605 Greenbelt Rd, Lanham, MD 20706-2274 | 2019-07-11 |
| 1720562507 | Arundel Pediatric Dental Care | Dentist | 8531 Veterans Hwy Ste 103, Millersville, MD 21108-2653 | 2018-09-18 |
| 1083192884 | Chang & Phan Dental, LLC | Dentist | 451 Hungerford Dr Ste 100, Rockville, MD 20850-5102 | 2018-08-02 |
| 1710473731 | Marlborough Village Pediatric Dental | Dentist | 5098 Brown Station Rd Ste 260, Upper Marlboro, MD 20772-9124 | 2018-07-02 |
| 1184116618 | Kiddie Cavity Care Thmd, LLC | Dentist | 3743 Branch Ave Ste A, Temple Hills, MD 20748-1408 | 2018-05-31 |
| 1851881999 | Haider Alshami | Dentist | 650 W Baltimore St, Baltimore, Md 21201, 3rd Flood, Baltimore, MD 21286 | 2018-05-15 |
| 1306335468 | Adam Elrafei | Dentist | 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 | 2018-05-04 |
| 1285121137 | Zamora Kids Dentistry, P.a. | Dentist | 1350 Blair Dr Ste I, Odenton, MD 21113-1333 | 2018-04-17 |
| 1336659721 | Tyson Bross Dmd Phd LLC | Dentist | 129 Lubrano Dr Ste 300, Annapolis, MD 21401-7568 | 2017-10-11 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
Please comment or provide details below to improve the information on GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER, 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.