Organization Active NPI

Christian Dental Center

  • General Practice Dentistry
  • Temple Hills, MD
National Provider Identifier
1487806360
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13410 Issued in MD
Legal business name
CHRISTIAN DENTAL CENTER
Practice address
3611 Branch Ave
Suite 301
Temple Hills, MD 20748-1242
Phone
(301) 702-2700
Fax
(301) 702-2777
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Dr. Pearstine Adgerson, DDS
Title
Owner/President
Phone
(301) 702-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13410 MD Primary

Addresses

Primary practice location

3611 Branch Ave
Suite 301
Temple Hills, MD 20748-1242

Mailing address

3611 Branch Avenue
Suite 301
Temple Hills, MD 20748
Phone (301) 702-2700

National Provider Directory

National Provider Directory

Locations

3611 Branch Ave
Ste 301
Temple Hills, MD 20748
Phone (301) 326-3409

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1487806360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVENUE",
            "address_2": "SUITE 301",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "20748",
            "telephone_number": "301-702-2700",
            "fax_number": "301-702-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE",
            "address_2": "SUITE 301",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481242",
            "telephone_number": "301-702-2700",
            "fax_number": "301-702-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "ADGERSON",
        "authorized_official_first_name": "PEARSTINE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "301-702-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.