Dentistryone of Maryland Venice a Aviso PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTRYONE OF MARYLAND VENICE A AVISO PC

Practice address

4450 Mitchellville Rd # 1269
Bowie, MD 20716-3112

Phone

(877) 712-7875

NPI assigned

Apr 4, 2025

Organization subpart

No

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

Authorized official

Name

Venice Aviso

Title

Owner

Phone

(877) 712-7875

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1275337487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HIGHLAND AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 MITCHELLVILLE RD # 1269",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163112",
            "telephone_number": "877-712-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRYONE OF MARYLAND VENICE A AVISO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "AVISO",
        "authorized_official_first_name": "VENICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-712-7875"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard P Denise Jr., D.D.S.
• Lauren Dennis
• Maryann Chinasa Dennis
• Dental Land Pediatrics LLC
• Dentist in Bowie LLC
• Roberto A Depetris, MD
• Roberto Nestor Depetris, LAC
• Alicia Derenoncourt, LICSW
• Jacquelyn Deshong, LMFT
• Elisabeth Desir

• General Practice Dentistry in Bowie, MD
• Providers in Bowie, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.