MONTGOMERY VILLAGE DENTAL CTR (NPI# 1558487413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558487413 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY VILLAGE DENTAL CTR |
| Practice Address |
18544 Office Park Drive Gaithersburg MD 20886 |
| Practice Telephone | 3015488888 |
| Practice Fax Number | 3015489037 |
| Mailing Telephone | 3015488888 |
| Mailing Fax Number | 3015489037 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | DR. BAHRAM NASELRI (DENTIST) |
| Authorized Official Telephone | 3015488888 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11656 | MD | Dental Providers |
| Street Address |
18544 OFFICE PARK DRIVE |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730684986 | Monica Susan Perretta | Dietitian, Registered | 8615 East Village Ave., Montgomery Village, MD 20886 | 2018-03-29 |
| 1942604640 | Maria Uy | Pharmacist | 9846 Maple Leaf Dr, Montgomery Village, MD 20886 | 2014-10-09 |
| 1699015354 | Larissa Kern Reynolds | Psychologist | 8615 East Village Avenue, Montgomery Village, MD 20886 | 2013-02-18 |
| 1518221613 | Iya-wase Winifred Besinga | Home Health Aide | 9658 Brassieway Montgomery Village, Montgomery, MD 20886 | 2012-07-03 |
| 1265758858 | Nina Vann Jeanes M.d., P.C. | Obstetrics & Gynecology | 19221 Montgomery Village Avenue, C-20, Montgomery County, MD 20886 | 2010-04-08 |
| 1275773012 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 8109 Wisconsin Ave, Bethesda, MD 20886 | 2009-03-05 |
| 1184876757 | Russell Lee Fritts | Chiropractor | 18538 Office Park Dr., Montgomery Village, MD 20886 | 2008-10-15 |
| 1558536102 | James M Ryan | Counselor | 19630 Club House Rd Ste 715, Montgomery Village, MD 20886 | 2008-04-24 |
| 1437226784 | Robbie S Moyer | Pediatrics | 18506 Office Park Drive, Montgomery Vlg, MD 20886 | 2006-11-30 |
| 1689741720 | Edward Joseph Feroli | Pediatrics | 19251 Montgomery Village Ave, Montgomery Village, MD 20886 | 2006-11-30 |
| Find all providers in zip 20886 | ||||
| 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 |
|---|---|---|---|---|
| 1518575414 | Patrick C. Lee, Dds PC | Dentist | 803 Russell Ave Ste 2c, Gaithersburg, MD 20879-3584 | 2020-07-16 |
| 1609426675 | Felicity Dental Kentlands LLC | Dentist | 204 Main St Ste 1, Gaithersburg, MD 20878-5522 | 2019-09-12 |
| 1265905186 | Jeffrey Jin-hyung Kim | Dentist | 100 Bureau Dr Stop 8546, Gaithersburg, MD 20899-8546 | 2019-01-03 |
| 1568879179 | Deepa Kastoori | Dentist | 343 W Side Dr, Apt#204, Gaithersburg, MD 20878-3033 | 2014-07-15 |
| 1992121487 | Duy-tam Tran-kiem | Dentist | 9051 Shady Grove Ct, Gaithersburg, MD 20877-1301 | 2014-03-09 |
| 1760824361 | Jamie Jiyong Kim | Dentist | 609 Whitcliff Ct, Gaithersburg, MD 20878-2784 | 2013-07-23 |
| 1114280245 | Robert Bracho | Dentist | 452 Clayhall St, Gaithersburg, MD 20878-6515 | 2012-06-22 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1720363781 | Enrique I Farina | Dentist | 9548 Melrose Square Way, Gaithersburg, MD 20882-4425 | 2011-10-20 |
| 1962799767 | Andrew Aziz | Dentist | 7233 Antares Dr, Gaithersburg, MD 20879-5429 | 2011-06-30 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20886 |
Please comment or provide details below to improve the information on MONTGOMERY VILLAGE DENTAL CTR.
| 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.