Ib Dental III

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

14139 Issued in MD

Legal business name

IB DENTAL III

Doing business as

iBrush Family Dental Care

Practice address

2970 Belcrest Center Dr
Ste. 105
Hyattsville, MD 20782-1987

Phone

(301) 567-5437

Fax

(301) 567-5456

NPI assigned

Oct 18, 2016

Last updated

Oct 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Sherod Dayse, D.D.S., M.B.A.

Title

Ceo and President

Phone

(202) 297-1500

Specialties & licenses 4

Addresses

Other names 1

• iBrush Family Dental Care Doing business as

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1265983985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 BELCREST CENTER DR",
            "address_2": "STE. 105",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821912",
            "telephone_number": "301-567-5437",
            "fax_number": "301-567-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 BELCREST CENTER DR",
            "address_2": "STE. 105",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821987",
            "telephone_number": "301-567-5437",
            "fax_number": "301-567-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IB DENTAL III",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "DAYSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SHEROD",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "202-297-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.B.A."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "15968",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "14139",
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": "MD",
            "license": "02372",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": "MD",
            "license": "18788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iBrush Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hyattsville Optometry, LLC (My Eye Dr)
• Hyattsville Pediatrice Dentistry
• Hyattsville Volunteer Fire Dept
• Ayana Chanay Hypolite, PT
• Erlyne Hyppolite-Pedroso, M.D.
• Aminat Ibikunle
• Modupe Romoke Ibikunle
• Ubong Ibok, PHARMD
• Folorunso Ibraheem, DNP, MBBS, CFNP
• Farhia Ibrahim

• Oral and Maxillofacial Surgery (Dentist) in Hyattsville, MD
• Providers in Hyattsville, 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 Oct 25, 2016; 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.