Active NPI
Endodontic Specialists
- Endodontics
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- ENDODONTIC SPECIALISTS
- Practice address
- 12520 Prosperity Dr Ste 230
Silver Spring, MD 20904-1683 - Phone
- (301) 593-4400
- Fax
- (301) 593-1587
- NPI assigned
- May 4, 2015
- Last updated
- Aug 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Young S Lee, DMD
- Title
- President
- Phone
- (301) 593-4400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | NU | Primary |
Addresses
Primary practice location
12520 Prosperity Dr Ste 230
Silver Spring, MD 20904-1683
Mailing address
12520 Prosperity Dr Ste 230
Silver Spring, MD 20904-1683
Phone (301) 593-4400
National Provider Directory
National Provider DirectoryLocations
12520 Prosperity Dr
Ste 230
Silver Spring, MD 20904
Phone (410) 742-7004
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endodontics
- Silver Spring, MD
- NPI 1659460467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598832000000",
"number": "1417334079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12520 PROSPERITY DR STE 230",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041683",
"telephone_number": "301-593-4400",
"fax_number": "301-593-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12520 PROSPERITY DR STE 230",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041683",
"telephone_number": "301-593-4400",
"fax_number": "301-593-1587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDODONTIC SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-04",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "YOUNG",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-593-4400",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
- Esther M Emsellem, DO
- Felicita A Enang
- Stella Abane Enang, HHA
- Anegagrign Endale
- Paula Helene Enderson, PAC
- Endoscopic Surgical Centre of Maryland LLC (Endoscopic Surgical Centre of Maryland)
- Endpoint Holistic Healthcare Services LLC
- Benjamin Endres
- Benjamin A Engelhart, DPT
- Warfield H Engelking, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.