DR. RAFAEL ANTONIO ACOSTA (NPI# 1902232614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902232614 |
| Entity Type | Individual |
| Full Name | DR. RAFAEL ANTONIO ACOSTA |
| Credential | DDS |
| Practice Address |
7905 Malcolm Rd Ste 300 Clinton MD 20735 |
| Mailing Address |
7905 Malcolm Rd Ste 300 Clinton MD 20735-1708 |
| Practice Telephone | (301) 868-5500 |
| Mailing Telephone | 3018685500 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
15692 | MD | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22888 Three Notch Rd Ste 102, California, MD 206193114 | 3017375507 | |
| 605 Post Office Rd Ste 202, Waldorf, MD 206021913 | 3018433290 | |
| 6201 Greenbelt Rd Ste U11, Berwyn Heights, MD 207402347 | 3013453800 | |
| 995 Prince Frederick Blvd Ste 104, Prince Frederick, MD 206783199 | 4435323123 | 4435323201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861712150 | Rafael Acosta | Physician Assistant | 222 W. Eulalia Suite 201, Glendale, CA 91204-2851 | 2010-06-09 |
| 1508011610 | Rafael A Acosta | Chiropractor | 1135 Ave 65 Infanteria, Suite 215-a, San Juan, PR 00924-3402 | 2008-11-18 |
| 1619337664 | Rafael Acosta | Counselor | 2000 N Dixie Hwy, Suite 4, Lake Worth, FL 33460-6244 | 2016-03-03 |
| 1538453279 | Rafael Anthony Acosta | Dentist | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2011-05-29 |
| 1679725493 | Rafael Acosta | Pharmacist | 40 W 225th St # 50, Bronx, NY 10463-7016 | 2008-10-13 |
| Street Address |
7905 MALCOLM RD STE 300 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| 1447547054 | Angela B Dankwah-dempsey | Pharmacist | 8859 Branch Avenue, Cvs Pharmacy, Clinton, MARYLAND 20735 | 2011-07-03 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780989822 | Derek C. Ego-osuala LLC | Dentist | 7700 Old Branch Avenue, A-204, Clinton, MD 20735 | 2011-01-21 |
| 1083144992 | Lane and Associates Xxxii, Dds, Pa | Dentist | 411 Fairview St, Clinton, NC 28328-2311 | 2017-06-13 |
| 1467772541 | Derek Ego-osuala | Dentist | 7700 Old Branch Ave, A-204, Clinton, MD 20735-1628 | 2010-06-11 |
| 1700010709 | Sachin Rastogi | Dentist | 7905 Malcolm Rd, Suite # 300, Clinton, MD 20735-1734 | 2009-05-06 |
| 1427295005 | Neveen S. Wahab | Dentist | 7905 Malcolm Rd, Ste.#300, Clinton, MD 20735-1734 | 2009-01-19 |
| 1578715777 | Glenn C. Schermer | Dentist | 7905 Malcolm Rd, Ste#300, Clinton, MD 20735-1734 | 2008-10-21 |
| 1861644163 | Guido Costa | Dentist | 7905 Malcolm Rd, Ste#300, Clinton, MD 20735-1734 | 2008-10-17 |
| 1477705820 | Allan J Goodfriend | Dentist | 7905 Malcolm Rd, Ste#300, Clinton, MD 20735-1734 | 2008-10-16 |
| 1508018979 | Michael J Goode | Dentist | 7905 Malcolm Rd, Ste#300, Clinton, MD 20735-1734 | 2008-10-16 |
| 1447377718 | Alan J. Goodfriend, Dmd, Glenn C. Schermer, Dmd, Guido Costa, Dmd,p.a. | Dentist | 7905 Malcolm Rd, Suite 300, Clinton, MD 20735-1734 | 2007-03-23 |
| Find all providers in CLINTON | ||||
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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.