Active NPI
Andrew Tong, DDS, MS
- Periodontics
- Gaithersburg, MD
National Provider Identifier
1053874016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 16998
- Practice address
- 903 Russell Ave Ste 200
Gaithersburg, MD 20879-3282 - Phone
- (301) 962-2485
- NPI assigned
- Apr 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 16998 | MD | Primary |
Addresses
Primary practice location
903 Russell Ave Ste 200
Gaithersburg, MD 20879-3282
Mailing address
903 Russell Ave Ste 200
Gaithersburg, MD 20879-3282
Phone (301) 962-2485
Other practice location 1
23206 Brewers Tavern Way
Clarksburg, MD 20871-4391
Phone (301) 804-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16998 | MD | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Tong Dental LLC | Periodontics | Current | Accepting new patients |
Locations
23206 Brewers Tavern Way
Clarksburg, MD 20871
Phone (301) 515-5100
903 Russell Ave
Ste 200
Gaithersburg, MD 20879
Phone (301) 216-1780
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1053874016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 RUSSELL AVE STE 200",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793282",
"telephone_number": "301-962-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 RUSSELL AVE STE 200",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793282",
"telephone_number": "301-962-2485"
}
],
"practiceLocations": [
{
"address_1": "23206 Brewers Tavern Way",
"address_purpose": "LOCATION",
"city": "Clarksburg",
"state": "MD",
"postal_code": "208714391",
"country_code": "US",
"telephone_number": "301-804-1980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TONG",
"first_name": "ANDREW",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-08",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "16998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.