DR. MARK B WINNICK (NPI# 1881655629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881655629 |
| Entity Type | Individual |
| Full Name | DR. MARK B WINNICK |
| Credential | D.D.S. |
| Practice Address |
802 Russell Ave Suite 3a Gaithersburg MD 20879-3506 |
| Practice Telephone | 3019268282 |
| Practice Fax Number | 3013306970 |
| Mailing Telephone | 3019268282 |
| Mailing Fax Number | 3013306970 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4954 | MD | Dental Providers |
| Street Address |
802 RUSSELL AVE SUITE 3A |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20879-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1497242705 | Ajena Callaway | Occupational Therapist | 354 A Christopher Avenue, Gaithersburg, MD 20879 | 2018-04-23 |
| 1952702789 | Alan Huang | Physical Therapist | 18603 Tribble Way, Gaithersburg, MD 20879 | 2014-09-11 |
| 1225452089 | Benefitcare Inc. | Home Health | 18211d Flower Hill Way, Gaithersburg, MD 20879 | 2014-02-13 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1962637090 | Team Care, LLC | Non-emergency Medical Transport (VAN) | 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 | 2009-05-19 |
| 1730327412 | Maryland Home Health, LLC | Home Health | 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 | 2009-02-03 |
| 1528223740 | Behzad Mirdamadi | Dentist | 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 | 2008-07-28 |
| 1265696322 | Nargess Mirhakkak Biparva | Dentist | 941 B Russell Ave, Gaithersburg, MD 20879 | 2008-07-17 |
| 1891818639 | Carolyn June Figard | Counselor | 933 Russess Ave., Suite D, Gaithersburg, MD 20879 | 2007-04-09 |
| Find all providers in zip 20879 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770858730 | Hyung Jin Bae | Dentist | 16069 Comprint Cir, Gaithersburg, MD 20877-1321 | 2012-03-09 |
| 1487708673 | Robin Heather Pollack | Dentist | 8901 Shady Grove Ct, Gaithersburg, MD 20877-1308 | 2007-01-23 |
| 1730243775 | Chi-tsai Yeh | Dentist | 953 Russell Ave, Suite A, Gaithersburg, MD 20879-3284 | 2006-12-21 |
| 1427123603 | Peter David Hadeed | Dentist | 925 Russell Ave, Suite A, Gaithersburg, MD 20879-3252 | 2006-11-22 |
| 1104282201 | Behnaz Yalda Dmd PC | Dentist | 803 Russell Ave, Suite 3a, Gaithersburg, MD 20879-3584 | 2016-01-06 |
| 1770584849 | Gerard Boquel | Dentist | 903 Russell Ave, Suite 300, Gaithersburg, MD 20879-3282 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702133 | Hirschel Wohl | Dentist | 2021b Emmorton Rd Ste 118, Bel Air, MD 21015-8958 | 2020-08-26 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1508386772 | David A Mugford Dmd Pa | Dentist | 1660 Village Grn # 104, Crofton, MD 21114-2033 | 2017-06-20 |
| 1407396369 | Gonzalo Blasi | Dentist | 305 W Fayette St Apt 1412, Baltimore, MD 21201-3466 | 2017-02-26 |
| 1790149052 | Kevin George Murphy | Dentist | 6080 Falls Rd #202, Baltimore, MD 21209-2498 | 2016-04-12 |
| 1124410741 | Andres Jimenez Wolf | Dentist | 13975 Connecticut Ave Ste 311, Silver Spring, MD 20906-2921 | 2015-02-19 |
| 1558610444 | Mary Gray Lee | Dentist | 6080 Falls Road, Suite 202, Baltimore, MD 21209 | 2012-09-06 |
| 1063760486 | Rei Sekiguchi | Dentist | 9000 Rockville Pike Bldg 30, Bethesda, MD 20892-4370 | 2012-08-15 |
| 1811244627 | Kim-thi Van-dinh | Dentist | 3801 Canterbury Rd, Unit 407, Baltimore, MD 21218-2370 | 2012-08-10 |
| 1245500495 | Sheldon Holen | Dentist | 5550 Friendship Blvd Ste 520, Chevy Chase, MD 20815-7302 | 2012-01-05 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20879 |
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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.