ASPEN HILL IMPLANT & FAMILY DENTISTRY, P.C (NPI# 1003421330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003421330 |
| Entity Type | Organization |
| Organization Name | ASPEN HILL IMPLANT & FAMILY DENTISTRY, P.C |
| Practice Address |
1401 Mercantile Ln # 583 Upper Marlboro MD 20774-4301 |
| Mailing Address |
4110 Aspen Hill Rd Ste 301 Rockville MD 20853-2853 |
| Practice Telephone | 3017734177 |
| Practice Fax Number | 3017739626 |
| Mailing Telephone | 3018715830 |
| Mailing Fax Number | 3018717519 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | DR. ZIA AHMED (CEO) |
| Authorized Official Telephone | 3018715830 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | ASPEN HILL IMPLANT & FAMILY DENTISTRY,P.C |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Aspen Hill Implant & Family Dentistry | Doing Business As Name - Organization |
| Street Address |
1401 MERCANTILE LN # 583 |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740806702 | Sarah A So | Dentist | 14446 Old Mill Rd # 101, Upper Marlboro, MD 20772-3086 | 2020-06-24 |
| 1386051399 | Lisa Daniel | Dentist | 14203 Village Manor Ct, Upper Marlboro, MD 20774-8581 | 2014-07-22 |
| 1285068692 | Family Dentistry of Melwood LLC | Dentist | 9680 Marlboro Pike, Upper Marlboro, MD 20772-3670 | 2013-08-21 |
| 1902108897 | Keith Felix Theodore | Dentist | 16729 Queen Anne Rd, Upper Marlboro, MD 20774-8754 | 2010-11-26 |
| 1538478227 | Yc Roh, Dmd, Pa | Dentist | 7611 S Osborne Rd Ste 104, Upper Marlboro, MD 20772-4200 | 2010-09-29 |
| 1154584233 | Ashish Rastogi | Dentist | 9682 Marlboro Pike, Upper Marlboro, MD 20772-3670 | 2008-07-08 |
| 1801068085 | Upper Marlboro Family Dentistry | Dentist | 9614 Marlboro Pike, Upper Marlboro, MD 20772-3670 | 2008-03-28 |
| 1851418826 | Yoonchul Roh | Dentist | 14446 Old Mill Rd, Suite 101, Upper Marlboro, MD 20772-3086 | 2007-03-23 |
| 1275678609 | Rashad M Jefferson | Dentist | 7703 Crain Highway, Upper Marlboro, MD 20772-4953 | 2007-02-21 |
| 1801933890 | Watts Dental Associates | Dentist | 7611 S Osborne Rd Ste 102, Upper Marlboro, MD 20772-4238 | 2007-01-31 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on ASPEN HILL IMPLANT & FAMILY DENTISTRY, P.C.
| 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.