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MONTGOMERY PEDIATRIC DENTAL PARTNERS LLC NPI 1629707492


NPI Information

NPI: 1629707492
Provider Name: MONTGOMERY PEDIATRIC DENTAL PARTNERS, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
14955 SHADY GROVE RD STE 260
ROCKVILLE, MD
ZIP 20850
Phone: (240) 752-8822
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MONTGOMERY PEDIATRIC DENTAL PARTNERS, LLC is a pediatric dentistry dentist in Rockville, MD. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MONTGOMERY PEDIATRIC DENTAL PARTNERS, LLC NPI is 1629707492. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

14955 SHADY GROVE RD STE 260
ROCKVILLE, MD
ZIP 20850-723
Phone: (240) 752-8822
Fax: (240) 752-8821

The provider's authorized official is Reza Beheshti .
The authorized official title is Co-owner and has the following contact phone number (240) 752-8822.

The enumeration date for this NPI number is 6/7/2022 and was last updated on 6/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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