WASHINGTON PEDIATRIC DENTAL


Address: 8630 Fenton St Ste 718, Silver Spring, MD 20910-3812
Phone: 3013888600

WASHINGTON PEDIATRIC DENTAL (NPI# 1174026934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174026934
Entity Type Organization
Organization Name WASHINGTON PEDIATRIC DENTAL
Practice Address 8630 Fenton St Ste 718
Silver Spring
MD 20910-3812
Mailing Address 904 Delafield Pl Nw
Washington
DC 20011-4516
Practice Telephone 3013888600
Enumeration Date 2018-03-17
Last Update Date 2018-03-17
Authorized Official Name MARIAN FOSTER-JORDAN (OWNER)
Authorized Official Telephone 2025382933
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
15002 MD Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 061343600 05

Office Location

Street Address 8630 FENTON ST STE 718
City SILVER SPRING
State MD
Zip Code 20910-3812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588928485 Marian B Foster-jordan Dentist 8630 Fenton St Ste 718, Silver Spring, MD 20910 2012-06-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417501966 Marie J Celeste Developmental Therapist 623 Ray Dr, Silver Spring, MD 20910 2019-08-01
1205398054 Maria Andrea Binger Speech-Language Pathologist Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 2019-04-02
1053882803 Margaret A Avallone Speech-Language Pathologist 1515 Sharon Drive, Silver Spring, MD 20910 2018-12-05
1518434117 Center for Pain Management LLC Non-Pharmacy Dispensing Site 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 2018-11-01
1669951927 Camille Smith Espinoza Social Worker 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 2018-08-08
1053838615 Grace Elaine Lozano Behavior Technician 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 2017-08-24
1417471160 Sooin Lee Dentist 923 Bonifant St Unit 1, Silver Spring, MD 20910 2017-08-02
1366963993 Rct Endodontics, LLC Dentist 804 Pershing Dr. #102, Silver Spring, MD 20910 2017-07-05
1720530363 Aurore Ondongo Nurse's Aide 8600 16th Street, Apt 909, Silver Spring, MD 20910 2016-10-31
1700239993 Kelli Teresa Harkless Advanced Practice Midwife 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 2016-07-22
Find all providers in zip 20910

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891186664 Age One Pediatric Dentistry Dentist 8630 Fenton St Ste 710, Silver Spring, MD 20910-3824 2015-02-13
1558350298 Hamid Tofigh Dentist 14301 Layhill Rd, Silver Spring, MD 20906-1937 2005-10-16
1710438601 Age One Pediatric Dentistry Dentist 8611 2nd Ave, Suite 201, Silver Spring, MD 20910-3372 2016-10-17
1649674599 Smile Care 4 Children Dentist 2730 University Blvd W, Suite #1010, Silver Spring, MD 20902-1905 2014-10-20
1396145645 Steven K Tan Dentist 12520 Prosperity Dr, Suite 300, Silver Spring, MD 20904-1664 2014-08-23
1215275326 Tracy Kinol Dentist 12520 Prosperity Dr, Suite 300, Silver Spring, MD 20904-1664 2013-01-24
1275828287 Sarah Catherine Moriarty Dentist 12520 Prosperity Dr, Suite 300, Silver Spring, MD 20904-1664 2011-06-17
1679702765 Tiffany D Gavin Dentist 2415 Musgrove Rd, Suite 301, Silver Spring, MD 20904-5200 2009-07-09
1962665257 Children & Adolescent Dentistry Dentist 831 University Blvd E, Suit 36b, Silver Spring, MD 20903-2916 2008-07-07
1942409065 Julie Lin Dentist 2415 Musgrove Rd, 301, Silver Spring, MD 20904-5200 2007-07-18
Find all providers in SILVER SPRING

Competitor

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City SILVER SPRING
Zip Code 20910

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Dataset Information

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.

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