MARYLAND ORAL DIAGNOSIS AND THERAPEUTICS,LLC (NPI# 1760654784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760654784 |
| Entity Type | Organization |
| Organization Name | MARYLAND ORAL DIAGNOSIS AND THERAPEUTICS,LLC |
| Other Organization Name | ORAL PATHOLOGY SERVICES |
| Practice Address |
50 W Edmonston Dr Suite 402 Rockville MD 20852 |
| Mailing Address |
50 W Edmonston Dr Suite 402 Rockville MD 20852-1228 |
| Practice Telephone | 3018389033 |
| Practice Fax Number | 3018389148 |
| Mailing Telephone | 3018389033 |
| Mailing Fax Number | 3018389148 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2009-04-24 |
| Authorized Official Name | DR. DI SUN (DIRECTOR) |
| Authorized Official Telephone | 3018389033 |
| Authorized Official Credential | DDS PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 11508 | MD | Dental Providers |
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
5326 | DC | Dental Providers |
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
11508 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 5486025 | 05 |
| Other Name | Type Code |
|---|---|
| Oral Pathology Services | Other Name - Individual/Organization |
| Street Address |
50 W EDMONSTON DR SUITE 402 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306836275 | Kumud Lata Sood | Dietitian, Registered | 50 W Edmonston Dr, Suite 504, Rockville, MD 20852-1228 | 2005-10-24 |
| 1356640338 | Joseph Porres Md PC | Dermatology | 50 W Edmonston Dr, 308, Rockville, MD 20852-1228 | 2011-03-16 |
| 1598062507 | Robin Talley | Acupuncturist | 50 W Edmonston Dr, 505, Rockville, MD 20852-1228 | 2011-02-28 |
| 1487959664 | Rachel Deena Nevas | Acupuncturist | 50 W Edmonston Dr, Ste 505, Rockville, MD 20852-1228 | 2011-01-19 |
| 1528361003 | Martin C. Flaum Dpm PC | Podiatrist | 50 W Edmonston Dr, Suite 306, Rockville, MD 20852-1280 | 2010-12-06 |
| 1376876086 | Elena Sergeevna Barnaeva | Acupuncturist | 50 W Edmonston Dr, Suite #505, Rockville, MD 20852-1228 | 2009-09-13 |
| 1073743746 | Swaroop G. Rao PC | Internal Medicine | 50 W Edmonston Dr, Suite 504, Rockville, MD 20852-1228 | 2009-07-16 |
| 1700023629 | Mitra Z Fard | Dentist | 50 W Edmonston Dr, Suite #605, Rockville, MD 20852-1228 | 2009-01-14 |
| 1164667192 | Primecare Med LLC | Internal Medicine | 50 W Edmonston Dr, Suite 401, Rockville, MD 20852-1228 | 2008-12-04 |
| 1538312004 | Lola Fox-rabinovich | Acupuncturist | 50 W Edmonston Dr, Suite 505, Rockville, MD 20852-1228 | 2008-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255316162 | Brion Smith | Dentist | 1314 Research Blvd, Building 101, Rockville, MD 20850-3125 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447590260 | Rania Hassan Younis | Dentist | 650 W Baltimore St Ste 7257, School of Dentistry, University of Maryland Baltimore, Baltimore, MD 21201-1510 | 2013-02-15 |
| 1679862007 | Ross I Couwenhoven | Dentist | 650 W. Baltimore St., Rm 7205, University of Maryland Dental School, Baltimore, MD 21201 | 2011-04-06 |
| 1285810861 | Michael K. Schwartz & Julius Hyatt D.d.s. | Dentist | 10 Warren Rd Ste 330, Cockeysville, MD 21030-2535 | 2008-01-14 |
| 1588706113 | Stewart and Labbe Orthodontics | Dentist | 2630 Brandermill Blvd, Gambrills, MD 21054-1651 | 2007-02-12 |
| 1265594535 | David K Moose | Dentist | 1715 Frederick St, Cumberland, MD 21502-1037 | 2006-12-14 |
| 1740388073 | Neil Christopher Bayley | Dentist | 12411 Ransom Dr, Glenn Dale, MD 20769-8960 | 2006-09-20 |
| 1386751659 | Lynn Francis Ascher | Dentist | 560 Riverside Drive Suite B201, Salisbury, MD 21801-4703 | 2006-08-24 |
| 1467884973 | Ahmed Sherif Sultan | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2013-08-07 |
| 1346548245 | W. K. Smith & J. A. Smith, Pa | Dentist | 136 E Broadway, Bel Air, MD 21014-2904 | 2011-03-02 |
| 1508190182 | John Robert Basile | Dentist | 650 W Baltimore St, 7-north, Baltimore, MD 21201-1510 | 2009-09-29 |
| Find all providers with the same taxonomy | ||||
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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.