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CCDC PROFESSIONALS LLC NPI 1285184218


NPI Information

NPI: 1285184218
Provider Name: CCDC PROFESSIONALS, LLC

Doing Business As: CAPITAL CHILDREN'S GENERAL ANESTHESIA DENTISTRY

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
1220 CARAWAY CT STE 1050
UPPER MARLBORO, MD
ZIP 20774
Phone: (301) 494-3000
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CCDC PROFESSIONALS, LLC is a dentist in Upper Marlboro, MD. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. CCDC PROFESSIONALS, LLC NPI is 1285184218. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Capital Children's General Anesthesia Dentistry.

The provider's business location address is:

1220 CARAWAY CT STE 1050
UPPER MARLBORO, MD
ZIP 20774-338
Phone: (301) 494-3000
Fax: (301) 494-3333

The provider's authorized official is Camille Taylor .
The authorized official title is Director Of Finance and has the following contact phone number (202) 536-9366.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 3/26/2024.


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
1122300000XDentistYes
21223D0004XDentistDentist AnesthesiologistNo
31223G0001XDentistGeneral PracticeNo
41223P0221XDentistPediatric DentistryNo
5207L00000XAnesthesiologyNo
6367500000XNurse Anesthetist, Certified RegisteredNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11023307055OTHERNPI

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: 5/5/2024

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