Organization Active NPI

DRS. Sweeney, Wise and Romanow, DDS,DMD,PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Gaithersburg, MD
National Provider Identifier
1063520104
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5582 Issued in MD
Legal business name
DRS. SWEENEY, WISE AND ROMANOW, DDS,DMD,PA
Practice address
985 Russell Ave
Gaithersburg, MD 20879-6211
Phone
(301) 926-2928
Fax
(301) 926-1802
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Albert Terry Sweeney, DDS
Title
Partner/Owner
Phone
(301) 926-2928

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 13573 MD
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 5582 MD Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 10885 MD

Addresses

Primary practice location

985 Russell Ave
Gaithersburg, MD 20879-6211

Mailing address

985 Russell Ave
Gaithersburg, MD 20879-6211
Phone (301) 926-2928

Other identifiers 2

IdentifierTypeStateIssuer
166205OtherDCPTAN
163463OtherMDPTAN

Other names 1

  • Greater Maryland Center for Oral and Maxillofacial Sugery Other name

National Provider Directory

National Provider Directory

Locations

504 W Patrick St
Ste D
Frederick, MD 21701
Phone (301) 682-3355

985 Russell Ave
Gaithersburg, MD 20879
Phone (301) 926-2928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1063520104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 RUSSELL AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208796211",
            "telephone_number": "301-926-2928",
            "fax_number": "301-926-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 RUSSELL AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208796211",
            "telephone_number": "301-926-2928",
            "fax_number": "301-926-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. SWEENEY, WISE AND ROMANOW, DDS,DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "301-926-2928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "13573",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "5582",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "10885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "166205",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "163463",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Maryland Center for Oral and Maxillofacial Sugery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.