RAFAEL ACOSTA, DDS, PC (NPI# 1962783910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962783910 |
| Entity Type | Organization |
| Organization Name | RAFAEL ACOSTA, DDS, PC |
| Practice Address |
110 Baughmans Ln Suite 140 Frederick MD 21702-4059 |
| Mailing Address |
Po Box 1149 Frederick MD 21702-0149 |
| Practice Telephone | 2402151138 |
| Practice Fax Number | 2402151140 |
| Mailing Telephone | 2402151138 |
| Mailing Fax Number | 2402151140 |
| Enumeration Date | 2011-09-05 |
| Last Update Date | 2011-09-05 |
| Authorized Official Name | RAFAEL A. ACOSTA (SOLE PROPRIETOR) |
| Authorized Official Telephone | 2402151138 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12408 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | STATE LICENSE | 12408 | 01 |
| Street Address |
110 BAUGHMANS LN SUITE 140 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164492401 | Julio J Menocal | Family Medicine | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2006-01-26 |
| 1467902726 | Privia Medical Group, LLC | Internal Medicine | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2016-10-11 |
| 1326491291 | Usman Waheed, M.d., P.a. | Surgery | 110 Baughmans Ln, Frederick, MD 21702-4059 | 2016-07-15 |
| 1508225335 | Care Medica Pharmacy LLC | Pharmacy | 110 Baughmans Ln, First Floor, Frederick, MD 21702-4059 | 2016-02-22 |
| 1982976056 | Frederick Urology Associates Pa | Specialist | 110 Baughmans Ln, Frederick, MD 21702-4059 | 2012-02-03 |
| 1538453279 | Rafael Anthony Acosta | Dentist | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2011-05-29 |
| 1174817811 | Go West Medical Dental Services LLC | Clinic/Center | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2011-05-29 |
| 1083918619 | Adams Professional Pharmacy LLC | Pharmacy | 110 Baughmans Ln, Fl 1, Frederick, MD 21702-4059 | 2010-12-21 |
| 1588974463 | Medoville Inc. | Durable Medical Equipment & Medical Supplies | 110 Baughmans Ln, Suite 106, Frederick, MD 21702-4059 | 2010-10-13 |
| 1407184443 | Good Faith Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 110 Baughmans Ln, Suite 201, Frederick, MD 21702-4059 | 2009-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245868355 | Anum Zaidi | Dentist | 6701 Skipwith Ct, Frederick, MD 21702-5803 | 2020-04-01 |
| 1104347301 | Mitra Davaninejad | Dentist | 4959 Westview Dr Ste F, Frederick, MD 21703-7369 | 2017-06-28 |
| 1962954677 | Vlad Alexandru Damian | Dentist | 8203 Winter Snow Ct, Frederick, MD 21702-3075 | 2016-10-28 |
| 1073973954 | Reddy Dental PC | Dentist | 5726 Buckeystown Pike Unit B, Frederick, MD 21704-5239 | 2016-03-04 |
| 1083096234 | Mithun Suresh | Dentist | 4950 Westview Dr, Frederick, MD 21703-7001 | 2015-06-24 |
| 1073904512 | Family Dentistry of Buckeystown Pike | Dentist | 5732 Buckeystown Pike Ste 26, Frederick, MD 21704-5214 | 2015-02-05 |
| 1639568843 | Jennifer John | Dentist | 2100 Old Farm Dr Ste 1-f, Frederick, MD 21702 | 2015-01-12 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| 1750630646 | Kevin Michael Banks | Dentist | 57 Thomas Johnson Dr Ste A, Frederick, MD 21702-4670 | 2012-09-06 |
| 1689960619 | Samuel K. Huang LLC | Dentist | 196 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4520 | 2011-06-28 |
| Find all providers in FREDERICK | ||||
Please comment or provide details below to improve the information on RAFAEL ACOSTA, DDS, PC.
| 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.