Olympus Dental Llc

LBN: Olympus Dental Llc
Olympus Dental Llc is an health care organization with primary practice located at 19231 Montgomery Village Ave Suite D12, Gaithersburg MD 20886-5023. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Olympus Dental Llc can be contacted via phone (240) 780-7002, or through Kwatra, Naveen via phone (240) 780-7002.

Contact Information

Primary practice address
19231 Montgomery Village Ave Suite D12 Gaithersburg MD 20886-5023
Phone: (240) 780-7002
Fax: (240) 780-7022
Website:
Map and Directions
Authorized official contact:
Name: Kwatra, Naveen Doctor of Dental Surgery (DDS)
Phone: (240) 780-7002

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1114344843
LBN Legal business name Olympus Dental Llc
DBA Doing business as
Authorized official Kwatra, Naveen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2014
Last updated Oct 6th, 2014 - 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 1114344843 NPPES
Maryland MEDICAID 013988200

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