MICHAEL PESIN (NPI# 1457440174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457440174 |
| Entity Type | Individual |
| Full Name | MICHAEL PESIN |
| Credential | D.D.S. |
| Practice Address |
117 Saint Patricks Dr Waldorf MD 20603-4574 |
| Mailing Address |
139 Wootton Oaks Ct Rockville MD 20852-6203 |
| Practice Telephone | 3018704553 |
| Practice Fax Number | 3018707034 |
| Mailing Telephone | 3018704553 |
| Mailing Fax Number | 3018707034 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13342 | MD | Dental Providers |
| 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 |
| 1407123045 | Neibauer Dental Care, PC | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2011-11-28 |
| 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 |
| 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.