DR. JAVOD KAZEMIZADEH GOL (NPI# 1083054654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083054654 |
| Entity Type | Individual |
| Full Name | DR. JAVOD KAZEMIZADEH GOL |
| Credential | D.D.S. |
| Practice Address |
4321 Collington Rd Bowie MD 20716-2259 |
| Mailing Address |
4321 Collington Rd Suite 210 Bowie MD 20716 |
| Practice Telephone | 3018090029 |
| Mailing Telephone | 3018090029 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2015-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 15417 | MD | Dental Providers |
| Street Address |
4321 COLLINGTON RD |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-2259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013171883 | Monica Boyden Francis | Physician Assistant | 4321 Collington Rd, Suite 230, Bowie, MD 20716-2259 | 2008-07-10 |
| 1699235531 | Kimberly Campbell Mcclendon | Nurse Practitioner | 4321 Collington Rd, Bowie, MD 20716-2259 | 2019-03-25 |
| 1104068790 | Aesthetic Dermatology and Dermatologic Surgery Center | Specialist | 4321 Collington Rd, Suite 230, Bowie, MD 20716 | 2009-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| 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 |
|---|---|---|---|---|
| 1164967030 | Bowie Smiles, PC | Dentist | 1506 Highway 59 N, Bowie, TX 76230-2700 | 2016-12-30 |
| 1558748566 | Milook Uzri | Dentist | 6141 High Bridge Rd, Bowie, MD 20720-5216 | 2015-04-28 |
| 1891186151 | Berry Children Dental of Bowie | Dentist | 4449 Mitchellville Rd, Bowie, MD 20716-3169 | 2015-02-09 |
| 1124374111 | Ancela Blakely | Dentist | 2511 Panther Ln, Bowie, MD 20716-1405 | 2012-07-27 |
| 1184920647 | Christian Nunez | Dentist | 12917 Kendale Ln, Bowie, MD 20715-3937 | 2011-02-01 |
| 1750692190 | Alexis Nicole Kirkland | Dentist | 6828 Race Track Rd Ste B, Bowie, MD 20715-3042 | 2010-06-30 |
| 1609008242 | Frank J. Bianca | Dentist | 12704 Holiday Ln, Bowie, MD 20716-1198 | 2009-08-16 |
| 1427297373 | Clarine Green Hightower | Dentist | 12500 Fairwood Pkwy Ste A, Bowie, MD 20720-6354 | 2009-02-17 |
| 1871745307 | Phillip Sidney Martin | Dentist | 15511 Annapolis Rd Ste 540, Bowie, MD 20715-3014 | 2008-10-15 |
| 1275713505 | Stafford Garfield Conley Jr. | Dentist | 1540 Pointer Ridge Pl, Suite A, Bowie, MD 20716-1881 | 2007-11-03 |
| Find all providers in BOWIE | ||||
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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.