Shadygrove Dental Center in Rockville - Dentist
Shadygrove Dental Center - NPI 1508076787
Shadygrove Dental Center is a Dentist in Rockville, Maryland. Shadygrove Dental Center practices all healthcare services and medical treatments related to Dentist. The NPI Number for Shadygrove Dental Center is 1508076787. The last update date is 2020-08-22.
Shadygrove Dental Center's current location address is 14955 Shady Grove Rd Ste 360, Rockville, Maryland. You can contact this provider via phone number 3016107724. The mailing address for Shadygrove Dental Center is 14955 Shady Grove Rd Ste 360, Rockville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shadygrove Dental Center |
|---|---|
| Address | 14955 Shady Grove Rd Ste 360, Rockville, Maryland |
| Phone Number | 3016107724 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Offit Raquel Fabiana |
| Credentials | DDS |
| Telephone Number | 3016107724 |
NPI Number Detail
| NPI Number | 1508076787 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 14955 Shady Grove Rd Ste 360 |
|---|---|
| City | Rockville |
| State | Maryland (MD) |
| Post Code | 208508719 |
| Phone Number | 3016107724 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10551 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1093875833 | MD | INDIVIDUAL NPI# |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shadygrove Dental Center by the Centers for Medicare & Medicaid Services?
The Shadygrove Dental Center has been issued the NPI (National Provider Identifier) 1508076787, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shadygrove Dental Center?
The Shadygrove Dental Center is situated at 14955 Shady Grove Rd Ste 360, in the city of Rockville, state of MD, with the zip code 208508719.
What is the Shadygrove Dental Center's specialty and taxonomy code?
The Shadygrove Dental Center's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Shadygrove Dental Center receive its 1508076787?
The Shadygrove Dental Center was issued its 1508076787 on 2007-05-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Shadygrove Dental Center most recently updated or revised?
The information pertaining to Shadygrove Dental Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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