Damascus Dental Group, Chartered

Primary specialty

DentistTaxonomy code 122300000X

License

12972 Issued in MD

Legal business name

DAMASCUS DENTAL GROUP, CHARTERED

Practice address

9701 New Church St
#9
Damascus, MD 20872-2000

Phone

(301) 253-2174

Fax

(301) 253-9693

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ambrose Jing-Hay To, DDS

Title

Dentist-Owner

Phone

(301) 253-2174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1144648445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 NEW CHURCH ST",
            "address_2": "#9",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722000",
            "telephone_number": "301-253-2174",
            "fax_number": "301-253-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 NEW CHURCH ST",
            "address_2": "#9",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722000",
            "telephone_number": "301-253-2174",
            "fax_number": "301-253-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMASCUS DENTAL GROUP, CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "TO",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_middle_name": "JING-HAY",
        "authorized_official_title_or_position": "DENTIST-OWNER",
        "authorized_official_telephone_number": "301-253-2174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "12972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Cozdeba-Dehn, RN
• Katey Lynn Cressy, PAC
• Craig Stephen Cropp, M.D.
• Dal Dermatology, Inc.
• Damaascus Opticians, Inc
• Damascus Opticians Inc
• Damascus Vision Partners, LLC
• Joy Dangerfield
• Christine Deslauriers, CRNP-PMH
• Frayda Diamond, RNC, CNM, MPH

• Dentist in Damascus, MD
• Providers in Damascus, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.