Shady Grove Modern Dental Pc in Gaithersburg - Dentist
Shady Grove Modern Dental Pc - NPI 1508802414
Shady Grove Modern Dental Pc is a Dentist in Gaithersburg, Maryland. Shady Grove Modern Dental Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Shady Grove Modern Dental Pc is 1508802414. The last update date is 2020-08-22.
Shady Grove Modern Dental Pc's current location address is 9051 Shady Grove Court, Gaithersburg, Maryland. You can contact this provider via phone number 3013304613 and fax number 3013304619. The mailing address for Shady Grove Modern Dental Pc is 9051 Shady Grove Court, Gaithersburg, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shady Grove Modern Dental Pc |
|---|---|
| Address | 9051 Shady Grove Court, Gaithersburg, Maryland |
| Phone Number | 3013304613 |
| Fax Number | 3013304619 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tran Kiem Duy Tam |
| Credentials | DMD |
| Telephone Number | 3013304613 |
NPI Number Detail
| NPI Number | 1508802414 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9051 Shady Grove Court |
|---|---|
| City | Gaithersburg |
| State | Maryland (MD) |
| Post Code | 20877 |
| Phone Number | 3013304613 |
| Fax Number | 3013304619 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 11662 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shady Grove Modern Dental Pc by the Centers for Medicare & Medicaid Services?
The Shady Grove Modern Dental Pc has been issued the NPI (National Provider Identifier) 1508802414, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shady Grove Modern Dental Pc?
The Shady Grove Modern Dental Pc is physically situated at 9051 Shady Grove Court, in the city of Gaithersburg, state of MD, with the postal code 20877.
What is the area of specialization for Shady Grove Modern Dental Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shady Grove Modern Dental Pc is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508802414 to Shady Grove Modern Dental Pc?
The Centers for Medicare & Medicaid Services assigned the 1508802414 to Shady Grove Modern Dental Pc on 2006-06-20.
When was the Shady Grove Modern Dental Pc's information last updated?
The Shady Grove Modern Dental Pc's information was last updated on 2020-08-22.