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Contact Information

MARYLAND DENTAL CENTER
8120 FENTON ST
SUITE 100
SILVER SPRING, MD20910
 Phone: 301-608-9800
 Fax: 301-608-9331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for MARYLAND DENTAL CENTER

NPI # 1154657344
LBN Legal business name MARYLAND DENTAL CENTER
Authorized official KOUROSH MEHRABIAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2009
Last updated 05/24/2024 - About 2 years ago
Identifiers
MD Medicaid 083242223
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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