NPIMap

Organization Active NPI

Dlight Dental

  • Periodontics
  • Rockville, MD
National Provider Identifier
1235594649
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DLIGHT DENTAL
Practice address
9600 Blackwell Rd Ste 101
Rockville, MD 20850-3670
Phone
(301) 330-9644
Fax
(301) 330-9644
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Jean LiNPI 1992085724
Title
Owner
Phone
(301) 330-9644

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
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

9600 Blackwell Rd Ste 101
Rockville, MD 20850-3670

Mailing address

9600 Blackwell Rd Ste 101
Rockville, MD 20850-3670
Phone (301) 330-9644

National Provider Directory

National Provider Directory

Locations

9600 Blackwell Rd
Ste 101
Rockville, MD 20850
Phone (301) 330-9644

Practitioners & affiliated clinicians

Practitioners 4

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": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1235594649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL RD STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503670",
            "telephone_number": "301-330-9644",
            "fax_number": "301-330-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL RD STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503670",
            "telephone_number": "301-330-9644",
            "fax_number": "301-330-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLIGHT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-330-9644"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.