David A. Dutrow III, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6623 Issued in MD

Practice address

16220 Frederick Rd
Gaithersburg, MD 20877-4039

Phone

(301) 977-9100

Fax

(301) 977-8733

NPI assigned

Dec 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1134421670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774039",
            "telephone_number": "301-977-9100",
            "fax_number": "301-977-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774039",
            "telephone_number": "301-977-9100",
            "fax_number": "301-977-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTROW",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher P Dunbar, RD
• Kelli Dunlap, PSYD
• Marlene J Dunsmore, LCSW-C
• Sirisha A Durbhakula, MD
• Andrew J Dutka, MD
• Robert V Duvall, DPT
• Cecilia Dye, LMSW
• Danielle Nicole Dye
• Madison Dyett
• Destinee Jarel Dorothy Dyke

• General Practice Dentistry in Gaithersburg, MD
• Providers in Gaithersburg, 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 Dec 2, 2010; 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.