SPECIALIST IN ORTHODONTICS OF MARYLAND, LLC (NPI# 1790162998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790162998 |
| Entity Type | Organization |
| Organization Name | SPECIALIST IN ORTHODONTICS OF MARYLAND, LLC |
| Practice Address |
9812 Falls Rd Potomac MD 20854-3976 |
| Mailing Address |
1350 Spring St Nw Ste 600 Atlanta GA 30309-2864 |
| Practice Telephone | 7706921000 |
| Mailing Telephone | 7706921000 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | JEANNINE BARTCH (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4043891950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
14922 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954091 | Specialist In Orthodontics of Maryland, LLC | Dentist | 8600 Snowden River Pkwy Ste 302, Columbia, MD 21045-1985 | 2019-07-18 |
| Street Address |
9812 FALLS RD |
| City | POTOMAC |
| State | MD |
| Zip Code | 20854-3976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215960562 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 9812 Falls Rd, Potomac, MD 20854-3976 | 2006-07-09 |
| 1164023818 | Carol Eileen Maio | Pharmacist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2020-11-07 |
| 1972104917 | Sue Kyung Yi | Pharmacist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2020-11-05 |
| 1407457518 | Lisa Chang | Pharmacist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2020-11-04 |
| 1568095735 | Dentistry for Children of Maryland 2 LLC | Clinic/Center | 9812 Falls Rd, Potomac, MD 20854-3976 | 2020-02-17 |
| 1578022919 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9812 Falls Rd, Potomac, MD 20854-3976 | 2019-03-15 |
| 1144607342 | Dentistry for Children of Maryland, LLC | Dentist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2015-04-27 |
| 1346671062 | Benita Scott | Chore Provider | 9812 Falls Rd, Suite #114-299, Potomac, MD 20854-3976 | 2013-12-05 |
| 1336397496 | Amy Light, Dmd, PC | Dentist | 9812 Falls Rd, Suite 118, Potomac, MD 20854-3976 | 2008-09-03 |
| 1265619175 | Marilyn Brenda Freidkin | Technician/Technologist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2008-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
| 1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
| 1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
| 1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
| 1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
| 1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
| 1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
| 1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
| 1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
| 1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
| Find all providers in zip 20854 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386018372 | Daniel Levy, D.d.s.,m.s. | Dentist | 10004 Iron Gate Rd, Potomac, MD 20854-4726 | 2015-11-14 |
| 1891845459 | Mehdy Baghaei-rad | Dentist | 10122 River Rd, Suite 210, Potomac, MD 20854-4900 | 2007-01-12 |
| 1306913827 | Donald Vincent Liang | Dentist | 10000 Falls Road, Suite 214, Potomac, MD 20854 | 2006-11-29 |
| 1326128935 | Rodney Frank Golden | Dentist | 7817 Laurel Leaf Drive, Potomac, MD 20854 | 2006-10-17 |
| 1528424850 | Daniel Levy | Dentist | 10004 Iron Gate Rd, Potomac, MD 20854-4726 | 2015-12-31 |
| 1972735017 | Michael Shanahan Blackwood | Dentist | 10000 Falls Rd, Suite 209, Potomac, MD 20854-4103 | 2009-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234536 | Sheng Ge | Dentist | 305 W Fayette St Apt 1401, Baltimore, MD 21201-3467 | 2020-07-31 |
| 1619590668 | Gaithersburg Ortho LLC | Dentist | 814 W Diamond Ave Ste 300, Gaithersburg, MD 20878-1448 | 2020-05-26 |
| 1043859119 | Orthoroks, LLC | Dentist | 100 Shawan Rd Ste E, Hunt Valley, MD 21030-1459 | 2020-01-06 |
| 1609412592 | Nuclear Smiles LLC | Dentist | 10100 Twin Rivers Rd Apt 121, Columbia, MD 21044-2578 | 2019-11-26 |
| 1194361519 | Mary C. Trahar, Dds, Pa | Dentist | 52 Denton Plz, Denton, MD 21629-9501 | 2019-11-20 |
| 1376187336 | Chevy Chase Orthodontics | Dentist | 8401 Connecticut Ave Ste 620, Chevy Chase, MD 20815-5803 | 2019-11-03 |
| 1003465477 | Meghan Mcinnes Palmer | Dentist | 8322 Bellona Ave Ste 310, Towson, MD 21204-2077 | 2019-09-09 |
| 1245716232 | Tj Orthodontics | Dentist | 198 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4432 | 2018-07-13 |
| 1275028326 | John William Serino | Dentist | 538 Cynwood Dr Ste 1, Easton, MD 21601-3887 | 2018-06-29 |
| 1487146353 | Christopher Jason Scott | Dentist | 10045 Baltimore National Pike Ste A1, Ellicott City, MD 21042-3673 | 2018-06-05 |
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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.