NPIMap

Organization Active NPI

Yc Roh, DMD, PA

  • General Practice Dentistry
  • Upper Marlboro, MD
National Provider Identifier
1538478227
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13225 Issued in MD
Legal business name
YC ROH, DMD, PA
Practice address
14446 Old Mill Rd # 101
Upper Marlboro, MD 20772-3086
Phone
(301) 952-8515
Fax
(301) 952-8508
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Dr. Yoonchul Roh, DMDNPI 1851418826
Title
Owner/Dentist
Phone
(301) 952-8515

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13225 MD Primary

Addresses

Primary practice location

14446 Old Mill Rd # 101
Upper Marlboro, MD 20772-3086

Mailing address

14446 Old Mill Rd # 101
Upper Marlboro, MD 20772-3086
Phone (301) 952-8515

National Provider Directory

National Provider Directory

Locations

7611 S Osborne Rd
Ste 104
Upper Marlboro, MD 20772

14446 Old Mill Rd
#101
Upper Marlboro, MD 20772
Phone (301) 952-8515

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1538478227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14446 OLD MILL RD # 101",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723086",
            "telephone_number": "301-952-8515",
            "fax_number": "301-952-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14446 OLD MILL RD # 101",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723086",
            "telephone_number": "301-952-8515",
            "fax_number": "301-952-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YC ROH, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "ROH",
        "authorized_official_first_name": "YOONCHUL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "301-952-8515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.