KIDS TEETH NPI 1134381270

NPI Information

  • NPI: 1134381270
  • Provider Name: KIDS TEETH
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 15200 SHADY GROVE RD
    SUITE #450
    ROCKVILLE, MD
    ZIP 20850
  • Phone: (301) 330-3222

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NPI Details

KIDS TEETH is a preferred provider organization in Rockville, MD. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. KIDS TEETH NPI is 1134381270. The provider is registered as an organization entity type.

The provider's business location address is:

15200 SHADY GROVE RD
SUITE #450
ROCKVILLE, MD
ZIP 20850-218
Phone: (301) 330-3222
Fax: (301) 330-3113

The provider's authorized official is Nazy Hacker .
The authorized official title is Office Manager and has the following contact phone number (301) 330-3222.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 6/30/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization12149MARYLANDYes

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: 11/21/2025

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