Shadygrove Dental Center

LBN: Shadygrove Dental Center
Shadygrove Dental Center is an health care organization with primary practice located at 14955 Shady Grove Rd Ste 360 , Rockville MD 20850-8719. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Shadygrove Dental Center can be contacted via phone (301) 610-7724, or through Offit, Fabiana Raquel via phone (301) 610-7724.

Contact Information

Primary practice address
14955 Shady Grove Rd Ste 360 Rockville MD 20850-8719
Phone: (301) 610-7724
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Offit, Fabiana Raquel Doctor of Dental Surgery (DDS)
Phone: (301) 610-7724

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10551 Maryland

Profile Details

NPI number 1508076787
LBN Legal business name Shadygrove Dental Center
DBA Doing business as
Authorized official Offit, Fabiana Raquel Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Aug 22nd, 2020 - about 6 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 1508076787 NPPES
Maryland Other 1093875833 INDIVIDUAL NPI#

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