MARYLAND PERIODONTICS NPI 1740722339

NPI Information

  • NPI: 1740722339
  • Provider Name: MARYLAND PERIODONTICS
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 7902 OLD BRANCH AVE
    SUITE 209
    CLINTON, MD
    ZIP 20735
  • Phone: (301) 856-1200

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NPI Details

MARYLAND PERIODONTICS is a dental clinic center in Clinton, MD. MARYLAND PERIODONTICS NPI is 1740722339. The provider is registered as an organization entity type.

The provider's business location address is:

7902 OLD BRANCH AVE
SUITE 209
CLINTON, MD
ZIP 20735-646
Phone: (301) 856-1200
Fax: (301) 868-1947

The provider's authorized official is Karen Michelle Loar .
The authorized official title is Office Coordinator and has the following contact phone number (301) 856-1200.

The enumeration date for this NPI number is 11/14/2016 and was last updated on 11/14/2016.

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/CenterDental11360MARYLANDYes

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
11104066257OTHERNATIONAL PROVIDER ID

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: 3/30/2025

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