NPI 1013797836

Montgomery County Maryland Government

Organisation Dental Clinic/Center Gaithersburg, MD

Practice location

Address: 101 W Deer Park Rd, Gaithersburg, MD 20877-1850
Phone: (301) 284-4150
Mailing address: 401 Hungerford Dr Fl 6, Rockville, MD 20850-4154

Authorised official

Name: Jameelah Johnson
Title: Manager
Phone: (240) 773-1211

Registered specialties (2)

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Maryland →

State or Local Public Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP0905X

Registry record

NPI: 1013797836
Entity type: Organization
NPI issued: 29 Sep 2023
Record last updated: 10 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.