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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADY GROVE MODERN DENTAL PC

Active Organization

SHADY GROVE MODERN DENTAL PC is a Dentist organization located in GAITHERSBURG, Maryland. NPI 1508802414 is currently active in the NPPES registry. Verify at CMS.

Dentist · GAITHERSBURG, MD

Registration Details

NPI Number
1508802414
Provider Type
Organization
NPI Issued
Jun 20, 2006 (20.140693014713 yrs)
Last Updated
Aug 22, 2020
License
11662 (MD)

Practice Information

Address
9051 SHADY GROVE COURT
GAITHERSBURG, MD, 20877
Browse MD providers · Browse ZIP 20877
Phone
3013304613
Fax
3013304619
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in GAITHERSBURG, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.