Stellar Dental, Llc

LBN: Stellar Dental, Llc
Stellar Dental, Llc is an health care organization with primary practice located at 11239 Lockwood Dr , Silver Spring MD 20901-4554. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Stellar Dental, Llc can be contacted via phone (301) 753-1900, or through Gotora, Allen via phone (202) 203-0230.

Contact Information

Primary practice address
11239 Lockwood Dr Silver Spring MD 20901-4554
Fax:
Website:
Authorized official contact:
Name: Gotora, Allen Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14124 Maryland

Profile Details

NPI number 1902202211
LBN Legal business name Stellar Dental, Llc
DBA Doing business as
Authorized official Gotora, Allen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2014
Last updated Oct 17th, 2023 - about 3 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 1902202211 NPPES
Maryland MEDICAID 199657

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