Bethesda Dental Care LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11027 Issued in MD

Legal business name

BETHESDA DENTAL CARE LLC

Practice address

4425 Montgomery Avenue
Bethesda, MD 20814-4403

Phone

(301) 718-2929

Fax

(301) 718-8449

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Robert Schuyler HermanNPI 1063590487

Title

General Dentist Business Owner

Phone

(301) 718-2929

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert Schuyler Herman, DDS

  • General Practice Dentistry
  • Bethesda, MD
  • NPI 1063590487
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1356564967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 MONTGOMERY AVENUE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144403",
            "telephone_number": "301-718-2929",
            "fax_number": "301-718-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 MONTGOMERY AVENUE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144403",
            "telephone_number": "301-718-2929",
            "fax_number": "301-718-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCHUYLER",
        "authorized_official_title_or_position": "GENERAL DENTIST BUSINESS OWNER",
        "authorized_official_telephone_number": "301-718-2929"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bethesda, MD
• Providers in Bethesda, 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 Aug 9, 2012; 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.