PANCHOLI DENTAL LLC NPI 1366267148

NPI Information

  • NPI: 1366267148
  • Provider Name: PANCHOLI DENTAL LLC
  • Classification: Dentist - 1223D0001X
  • Specialization: Dental Public Health
  • Entity Type: Organization
  • Address: 3450 LAUREL FORT MEADE RD STE 202
    LAUREL, MD
    ZIP 20724
  • Phone: (443) 763-0754

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NPI Details

PANCHOLI DENTAL LLC is a dental public health dentist in Laurel, MD. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. PANCHOLI DENTAL LLC NPI is 1366267148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3450 LAUREL FORT MEADE RD STE 202
LAUREL, MD
ZIP 20724-040
Phone: (443) 763-0754

The provider's authorized official is Shivakshi Pancholi .
The authorized official title is Dentist and has the following contact phone number (443) 763-0754.

The enumeration date for this NPI number is 11/18/2024 and was last updated on 11/18/2024.

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
11223D0001XDentistDental Public HealthYes

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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