Lilia G. Banzon, MD, PC T/a Marie T. Banzon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10905 Issued in MD

Legal business name

LILIA G. BANZON, MD, PC T/A MARIE T. BANZON, DDS

Practice address

9000 Old Georgetown Rd
Bethesda, MD 20814-1514

Phone

(301) 581-9494

Fax

(301) 581-9587

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marie T. Banzon, DDSNPI 1679652606

Title

Owner

Phone

(301) 581-9494

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marie T. Banzon, DDS

  • Dentist
  • Bethesda, MD
  • NPI 1679652606
  NPD (past) Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538248554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 OLD GEORGETOWN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141514",
            "telephone_number": "301-581-9494",
            "fax_number": "301-581-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 OLD GEORGETOWN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141514",
            "telephone_number": "301-581-9494",
            "fax_number": "301-581-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIA G. BANZON, MD, PC T/A MARIE T. BANZON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANZON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-581-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "10905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Agnes Lim, M.D.
• Ingrid Charmaine Lim, PSY D
• Lucious Lim, M.D.

• Dentist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Dentist in Maryland

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

Verify at the official NPI Registry.