MARANATHA ROBERTSON DENTAL NPI 1730065483

NPI Information

  • NPI: 1730065483
  • Provider Name: MARANATHA ROBERTSON DENTAL
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 5711 SARVIS AVE STE 502
    RIVERDALE, MD
    ZIP 20737
  • Phone: (301) 927-1453

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NPI Details

MARANATHA ROBERTSON DENTAL is a dental clinic center in Riverdale, MD. MARANATHA ROBERTSON DENTAL NPI is 1730065483. The provider is registered as an organization entity type.

The provider's business location address is:

5711 SARVIS AVE STE 502
RIVERDALE, MD
ZIP 20737-366
Phone: (301) 927-1453
Fax: (301) 588-3595

The provider's authorized official is Alicia H Robertson .
The authorized official title is Dentist and has the following contact phone number (301) 523-2728.

The enumeration date for this NPI number is 8/15/2025 and was last updated on 8/15/2025.

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

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