NPIMap

Organization Active NPI

Park Place Professional Oral Health Center

  • Dentist
  • Camp Springs, MD
National Provider Identifier
1164788402
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PARK PLACE PROFESSIONAL ORAL HEALTH CENTER
Practice address
5833 Allentown Rd
Camp Springs, MD 20746-4570
Phone
(301) 702-0230
Fax
(301) 702-0357
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Dr. Gaile E Hurdle, DENTISTNPI 1699097022
Title
Doctor
Phone
(301) 702-0230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5833 Allentown Rd
Camp Springs, MD 20746-4570

Mailing address

5833 Allentown Rd
Camp Springs, MD 20746-4570
Phone (301) 702-0230

National Provider Directory

National Provider Directory

Locations

5833 Allentown Rd
Camp Springs, MD 20746
Phone (301) 702-0230

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": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1164788402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 ALLENTOWN RD",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464570",
            "telephone_number": "301-702-0230",
            "fax_number": "301-702-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 ALLENTOWN RD",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464570",
            "telephone_number": "301-702-0230",
            "fax_number": "301-702-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE PROFESSIONAL ORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "HURDLE",
        "authorized_official_first_name": "GAILE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-702-0230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.