Vivek M Amin, DMD
Individual provider Active NPI Dentist · Lexington Park, MD
NPI 1184052045 · NPPES record last updated Oct 30, 2013
Key facts
- NPI
- 1184052045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 10646 (MD)
- Practice address
- 21875 Three Notch Rd
Lexington Park, MD 20653-1564 - Phone
- (301) 863-7077
- NPI assigned
- Oct 30, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10646 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amin and Strouth DDS PA | Past |
Accepting new patients | |
| Amin and Strouth DDS PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10646 | MD | Yes |
Addresses
Primary practice location
21875 Three Notch Rd
Lexington Park, MD 20653-1564
Mailing address
21875 Three Notch Rd
Lexington Park, MD 20653-1564
Phone (301) 863-7077
Other providers in Lexington Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.