IMAGE DENTAL CARE LLC NPI 1205686052

NPI Information

  • NPI: 1205686052
  • Provider Name: IMAGE DENTAL CARE LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 4009 SANDY SPRING RD STE 202
    BURTONSVILLE, MD
    ZIP 20866
  • Phone: (301) 421-0100

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NPI Details

IMAGE DENTAL CARE LLC is a dental clinic center in Burtonsville, MD. IMAGE DENTAL CARE LLC NPI is 1205686052. The provider is registered as an organization entity type.

The provider's business location address is:

4009 SANDY SPRING RD STE 202
BURTONSVILLE, MD
ZIP 20866-307
Phone: (301) 421-0100

The provider's authorized official is Mohammad Elkhateeb .
The authorized official title is Owner and has the following contact phone number (240) 271-8482.

The enumeration date for this NPI number is 3/25/2024 and was last updated on 3/25/2024.

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
1261QD0000XClinic/CenterDentalYes

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

NPI Synchronization or Removal

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