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Contact Information

KIDS TEETH
15200 SHADY GROVE RD
SUITE #450
ROCKVILLE, MD20850-3218
 Phone: 301-330-3222
 Fax: 301-330-3113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for KIDS TEETH

NPI # 1134381270
LBN Legal business name KIDS TEETH
Authorized official NAZY HACKER - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2008
Last updated 06/30/2008 - About 18 years ago
Identifiers
MD License # 12149
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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