Kentlands Family Dentistry

Organization Active NPI General Practice Dentistry · Gaithersburg, MD

NPI 1255504148 · NPPES record last updated Apr 11, 2008

Key facts

NPI
1255504148
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
11898 (MD)
Legal business name
KENTLANDS FAMILY DENTISTRY
Practice address
11908 Darnestown Road
E
Gaithersburg, MD 20878
Phone
(301) 347-5300
Fax
(301) 647-3720
NPI assigned
Apr 11, 2008
Organization subpart
No

Authorized official

Name
Dr. Pamela Chico Cornejo
Title
Owner
Phone
(301) 947-5300

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

11908 Darnestown Rd
Ste E
North Potomac, MD 20878
Phone (301) 947-5300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 11898 MD Yes

Addresses

Primary practice location

11908 Darnestown Road
E
Gaithersburg, MD 20878

Mailing address

11908 Darnestown Road
E
North Potomac, MD 20878
Phone (301) 347-5300

Other providers in Gaithersburg, MD

All providers in Gaithersburg, MD · General Practice Dentistry in Maryland

Sources for this page

Verify at the official NPI Registry.