Active NPI
Shalom Dental
- General Practice Dentistry
- Camp Springs, MD
National Provider Identifier
1457965238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SHALOM DENTAL
- Practice address
- 5801 Allentown Rd Ste 307
Camp Springs, MD 20746-4582 - Phone
- (240) 455-7842
- NPI assigned
- Aug 31, 2020
- Last updated
- Sep 11, 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
- Dr. Adenike Olayinka Gbenle
- Title
- Dentist/Owner
- Phone
- (301) 254-1193
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5801 Allentown Rd Ste 307
Camp Springs, MD 20746-4582
Mailing address
5801 Allentown Rd Ste 307
Camp Springs, MD 20746-4582
Phone (240) 455-7842
Other names 1
- shalom dental
National Provider Directory
National Provider DirectoryLocations
5801 Allentown Rd
Ste 307
Suitland, MD 20746
Phone (240) 455-7842
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.
-
- General Practice Dentistry
- Suitland, MD
- NPI 1164664405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599782400000",
"number": "1457965238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 ALLENTOWN RD STE 307",
"city": "CAMP SPRINGS",
"state": "MD",
"postal_code": "207464582",
"telephone_number": "240-455-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 ALLENTOWN RD STE 307",
"city": "CAMP SPRINGS",
"state": "MD",
"postal_code": "207464582",
"telephone_number": "240-455-7842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHALOM DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-31",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A",
"authorized_official_last_name": "GBENLE",
"authorized_official_first_name": "ADENIKE",
"authorized_official_middle_name": "OLAYINKA",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "301-254-1193",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "shalom dental",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Camp Springs, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.