District Mobile Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8457 Issued in MD

Legal business name

DISTRICT MOBILE DENTAL LLC

Practice address

37 Maryland Ave
235
Rockville, MD 20850-2437

Phone

(240) 552-9077

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gerry Marc Dubin, D.M.D.

Title

Dentist/Owner

Phone

(301) 977-3766

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1487998134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MARYLAND AVE",
            "address_2": "235",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502437",
            "telephone_number": "240-599-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MARYLAND AVE",
            "address_2": "235",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502437",
            "telephone_number": "240-552-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT MOBILE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "DUBIN",
        "authorized_official_first_name": "GERRY",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "301-977-3766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Rockville, MD
• Providers in Rockville, 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 Nov 19, 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.