NPIMap

Organization Active NPI

Lakeview Dental PC

  • Dental Clinic/Center
  • Waldorf, MD
National Provider Identifier
1568065225
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LAKEVIEW DENTAL PC
Practice address
605 Post Office Rd Ste 203
Waldorf, MD 20602-1913
Phone
(301) 843-3444
Fax
(301) 843-3633
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Aakash Mudaliar, DMDNPI 1366964884
Title
President
Phone
(570) 309-8223

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

605 Post Office Rd Ste 203
Waldorf, MD 20602-1913

Mailing address

605 Post Office Rd Ste 203
Waldorf, MD 20602-1913
Phone (301) 843-3444

National Provider Directory

National Provider Directory

Locations

605 Post Office Rd
Ste 203
Waldorf, MD 20602
Phone (301) 843-3444

Practitioners & affiliated clinicians

Practitioners 2

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": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1568065225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 POST OFFICE RD STE 203",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021913",
            "telephone_number": "301-843-3444",
            "fax_number": "301-843-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 POST OFFICE RD STE 203",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021913",
            "telephone_number": "301-843-3444",
            "fax_number": "301-843-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "MUDALIAR",
        "authorized_official_first_name": "AAKASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-309-8223",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.