Sandeep Kumar Garg, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12947 Issued in MD

Practice address

112 Smallwood Village Ctr
Waldorf, MD 20602-1843

Phone

(301) 843-8088

Fax

(301) 645-3217

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Love My Dentist, Inc.

  • General Practice Dentistry
  • Waldorf, MD
  • NPI 1790533594
  NPD Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1073630570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 EDENVALE CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023189",
            "telephone_number": "301-638-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SMALLWOOD VILLAGE CTR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021843",
            "telephone_number": "301-843-8088",
            "fax_number": "301-645-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "SANDEEP",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12947",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011144900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirtha Giannina Galliani Alvarez, D.D.S.
• Milton Abraham Galvan Lam, CRNP
• Stacy Marie Gantz
• Estefany Garcia de la Rivera
• Christine T Gardella, PA-C
• Sharon Lorraine Garland, RDN
• Lynette Gassop
• Gastrointestinal Associates of Maryland PA (GI Associates)
• Ashley Gathers
• Erin Burris Gaumer

• General Practice Dentistry in Waldorf, MD
• Providers in Waldorf, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.