NEIBAUER DENTAL CARE, PC (NPI# 1407123045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407123045 |
| Entity Type | Organization |
| Organization Name | NEIBAUER DENTAL CARE, PC |
| Other Organization Name | NEIBAUER DENTAL CARE. - WALDORF |
| Practice Address |
117 Saint Patricks Dr Waldorf MD 20603-4574 |
| Practice Telephone | 3018704553 |
| Practice Fax Number | 3018707034 |
| Mailing Telephone | 3018704553 |
| Mailing Fax Number | 3018707034 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | KAM SHICK (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 2175405141 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEIBAUER DENTAL CARE, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Neibauer Dental Care. - Waldorf | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619237229 | Neibauer Dental Care, PC | Dentist | 6383 Oxon Hill Rd, Oxon Hill, MD 20745-2236 | 2012-05-17 |
| 1235498882 | Neibauer Dental Care, PC | Dentist | 3601 E West Hwy # A3, Hyattsville, MD 20782-2060 | 2012-05-16 |
| 1730448010 | Neibauer Dental Care, PC | Dentist | 5742 Pickwick Rd Ste 15, Centreville, VA 20121-4730 | 2012-05-08 |
| 1043588817 | Neibauer Dental Care, PC | Dentist | 7651 Matapeake Business Drive Suite 106, Brandywine, MD 20613 | 2011-12-08 |
| 1295002814 | Neibauer Dental Care, PC | Dentist | 10051 Market Cir, Manassas, VA 20110-2120 | 2011-11-28 |
| 1215204839 | Neibauer Dental Care, PC | Dentist | 251 West Lee Hwy., Suite 197, Warrenton, VA 20186-2047 | 2011-11-28 |
| 1265709802 | Neibauer Dental Care, PC | Dentist | 8626 Richmond Hwy, Alexandria, VA 22309-4205 | 2011-11-28 |
| 1972870509 | Neibauer Dental Care, PC | Dentist | 1166 State Route 3 S, Suite 211, Gambrills, MD 21054-1767 | 2011-11-28 |
| 1023385648 | Neibauer Dental Care, PC | Dentist | 14901 Potomac Town Pl, Suite 175, Woodbridge, VA 22191-4096 | 2011-11-28 |
| 1942577580 | Neibauer Dental Care, PC | Dentist | 20 Berkshire Dr Ste 115, Stafford, VA 22554-7863 | 2011-11-28 |
| Street Address |
117 SAINT PATRICKS DR |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-4574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033207956 | Rimple Singh | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2006-10-10 |
| 1255713368 | Radhika Patel | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2015-06-25 |
| 1053748228 | Amanda Tinesha Taylor | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2013-10-03 |
| 1902247331 | Ahmed Uthman | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2013-07-15 |
| 1821348293 | Rebekah Lileen Husker | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2012-09-13 |
| 1619167020 | Sunny C Allen | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2007-07-31 |
| 1780882159 | Sammy Stefan Noumbissi | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2007-07-06 |
| 1801094263 | Russell Morrow | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2007-07-06 |
| 1558569012 | Bhavinkumar Patel | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2007-07-06 |
| 1588790570 | Chris Neibauer | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| 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 |
|---|---|---|---|---|
| 1588261085 | Rejuvenation Dental LLC | Dentist | 85 High St Ste 6, Waldorf, MD 20602-2150 | 2020-10-07 |
| 1801420112 | Adil Quraish Dds Waldorf PC | Dentist | 83 High St Ste A, Waldorf, MD 20602-2191 | 2020-02-25 |
| 1710423074 | Horace Ainsley Freeman | Dentist | 2992 Waldorf Market Pl, Waldorf, MD 20603-4874 | 2017-01-10 |
| 1639539653 | Rebecca N Triplett | Dentist | 3450 Old Washington Rd Ste 302, Waldorf, MD 20602-3251 | 2016-03-03 |
| 1821417700 | Michael Owens Dds of Waldorf LLC | Dentist | 152a Post Office Rd, Waldorf, MD 20602-2711 | 2014-04-08 |
| 1174848667 | Nakia Bush | Dentist | 11479 Berry Rd, Waldorf, MD 20603-5957 | 2010-03-29 |
| 1003061300 | Tongela Latarsha Williams | Dentist | 83 High Street, Suite A, Waldorf, MD 20602 | 2008-12-01 |
| 1720272677 | Gurpreet Singh Sethi Dds LLC | Dentist | 303 Post Office Rd, Suite B-1, Waldorf, MD 20602-2702 | 2007-09-04 |
| 1881809101 | David C Jones,jr. | Dentist | 4 Industrial Park Dr, Suite F, Waldorf, MD 20602-2757 | 2007-05-11 |
| 1013134931 | Donald P Peterson | Dentist | 11855 Holly Ln, Suite #103, Waldorf, MD 20601-3114 | 2007-04-20 |
| Find all providers in WALDORF | ||||
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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.