Supertooth Dental Group

LBN: Bethesda Chevy Chase Dental Care
Supertooth Dental Group is an health care organization with primary practice located at 6831 Wisconsin Ave P101, Chevy Chase MD 20815-6122. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / Dentist is the primary health care specialty. Bethesda Chevy Chase Dental Care can be contacted via phone (301) 986-8777, or through Manesh, Ben via phone (301) 986-8777.

Contact Information

Primary practice address
6831 Wisconsin Ave P101 Chevy Chase MD 20815-6122
Phone: (301) 986-8777
Fax: (301) 986-8873
Website:
Map and Directions
Authorized official contact:
Name: Manesh, Ben
Phone: (301) 986-8777

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1992138697
LBN Legal business name Bethesda Chevy Chase Dental Care
DBA Doing business as Supertooth Dental Group
Authorized official Manesh, Ben
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2013
Last updated Aug 16th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992138697 NPPES
District of Columbia MEDICAID 039934100

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