DR. JOHN I TIFFORD (NPI# 1952312167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952312167 |
| Entity Type | Individual |
| Full Name | DR. JOHN I TIFFORD |
| Credential | DDS |
| Practice Address |
3601 Leonardtown Rd Waldorf MD 20604-0716 |
| Mailing Address |
Po Box 716 3601 Leonardtown Road Waldorf MD 20604-0716 |
| Practice Telephone | 3018431200 |
| Practice Fax Number | 3016451200 |
| Mailing Telephone | 3018431200 |
| Mailing Fax Number | 3016451200 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4853 | MD | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DEN3016 | DC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | UNITED CONCORDIA PROVIDER | 5541 | 01 |
| Street Address |
3601 LEONARDTOWN RD |
| City | WALDORF |
| State | MD |
| Zip Code | 20604-0716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952327884 | Shoba Mathews | Psychiatry & Neurology | #7 Post Office Rd, Waldorf, MD 20604-0628 | 2006-07-14 |
| 1023124476 | Gilda C Hwang | Dentist | 363 Smallwood Drive, Waldorf, MD 20604-0920 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871849 | Dorian Geraldo Lopez | Nurse's Aide | 12644 Council Oak Dr, Waldorf, MD 20601-3585 | 2020-11-04 |
| 1184224842 | Camille B Ware | Pharmacist | 3297 Plaza Way, Waldorf, MD 20603-4861 | 2020-10-30 |
| 1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
| 1760081939 | Heavenly Helpers Home Health Services | Case Management | 11548 Lady Alison Ct, Waldorf, MD 20601-4630 | 2020-10-20 |
| 1356940761 | Angel Living, LLC | Assisted Living Facility | 3978 Old Washington Rd, Waldorf, MD 20602-3217 | 2020-10-19 |
| 1144828914 | Taylor Yenko | Occupational Therapist | 2505 Hatteras Cir, Waldorf, MD 20601-5219 | 2020-10-14 |
| 1588261085 | Rejuvenation Dental LLC | Dentist | 85 High St Ste 6, Waldorf, MD 20602-2150 | 2020-10-07 |
| 1760089676 | Carolina Sierra | Day Training/Habilitation Specialist | 2230 Kay Hill Dr, Waldorf, MD 20601-2709 | 2020-10-04 |
| 1568069557 | Huong Nguyen | Dietitian, Registered | 2262 Audrey Manor Ct, Waldorf, MD 20603-4918 | 2020-10-03 |
| 1174130561 | Sarah Ostrelich | Behavior Technician | 2261 Sandalwood Dr, Waldorf, MD 20601-3939 | 2020-09-29 |
| Find all providers in WALDORF | ||||
| 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.