Yelena Obholz DDS IV LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

YELENA OBHOLZ DDS IV LLC

Practice address

6000 Executive Blvd Ste 100
North Bethesda, MD 20852-3817

Phone

(240) 482-8244

Fax

(202) 244-9609

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Yelena Obholz, DDS

Title

Managing Member

Phone

(301) 318-2302

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic & Family Dentistry Specialists Doing business as

Locations

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1265128987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 100",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523817",
            "telephone_number": "240-482-8244",
            "fax_number": "202-244-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 100",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523817",
            "telephone_number": "240-482-8244",
            "fax_number": "202-244-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA OBHOLZ DDS IV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "OBHOLZ",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "301-318-2302",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic & Family Dentistry Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah M Weisberg, PSY.D.
• Jaleesa Williams
• Ahdaysia Williamson-McAllister, PA-C
• Saba F Wong, LMSW
• Ari Yares, PH.D.
• Yoon J Cho DO LLC
• Dina Zalami, MED
• Natalie Britt Zavareei, DDS
• Kristen Carver Zeller, MD
• Hongzhi Zhang

• Oral and Maxillofacial Surgery (Dentist) in North Bethesda, MD
• Providers in North Bethesda, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.