GORDON FORMICA & LOVE DDS PA (NPI# 1356441612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356441612 |
| Entity Type | Organization |
| Organization Name | GORDON FORMICA & LOVE DDS PA |
| Practice Address |
3233 Superior Lane B-25 Bowie MD 20715 |
| Practice Telephone | 3012623535 |
| Practice Fax Number | 3014643478 |
| Mailing Telephone | 3012623535 |
| Mailing Fax Number | 3014643478 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FRANCIS A FORMICA JR. (TRES) |
| Authorized Official Telephone | 3012623535 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 04017 | MD | Dental Providers |
| N | 122300000X | Dentist | 04497 | MD | Dental Providers |
| N | 122300000X | Dentist | 12848 | MD | Dental Providers |
| Y | 122300000X | Dentist | 03909 | MD | Dental Providers |
| Street Address |
3233 SUPERIOR LANE B-25 |
| City | BOWIE |
| State | MD |
| Zip Code | 20715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285040998 | Kristine Eunsong Kim | Dentist | 3233 Superior Lane, Suite B-25, Bowie, MD 20715 | 2014-07-02 |
| 1508132028 | Francis A Formica Jr. | Dentist | 3233 Superior Lane, Bowie, MD 20715 | 2012-03-29 |
| 1528334034 | Allan Stephan Love | Dentist | 3233 Superior Lane, Bowie, MD 20715 | 2012-03-29 |
| 1457627838 | Rex Yoon-tae Cho | Dentist | 3233 Superior Lane, Suite B-25, Bowie, MD 20715 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| 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.