TLC Modern Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13386 Issued in MD

Legal business name

TLC MODERN DENTISTRY

Practice address

13623 Georgia Ave
H-I
Silver Spring, MD 20906-5200

Phone

(301) 933-1401

Fax

(877) 299-3470

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Quang Tran, D.D.S

Title

Owner/Dentist

Phone

(301) 933-1401

Specialties & licenses 1

Addresses

Tax ID family

TLC Modern Dentistry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• TLC Modern Dentistry

  • Health Maintenance Organization
  • Montgomery Village, MD
  • NPI 1558790154
  NPD tax ID
• Tran & Le DDS LLC

  • Dentist
  • Silver Spring, MD
  • NPI 1275727034
  NPD tax ID

Locations

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1578837787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13623 H-I GEORGIA AVENUE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20906",
            "telephone_number": "301-933-1401",
            "fax_number": "877-299-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13623 GEORGIA AVE",
            "address_2": "H-I",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065200",
            "telephone_number": "301-933-1401",
            "fax_number": "877-299-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MODERN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "QUANG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "301-933-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petra A Tita
• Atuma Killton Titah
• Robin T Tittley
• Mahima Tiwari, PT
• Marie Mireille Tjomb
• TLC Perinatal Richard Broth MD PC
• Paris Todd
• Rebecca Anne Todd, AGPCNP-BC
• Manahai Toe Soma
• Amir Tofigh, DDS

• General Practice Dentistry in Silver Spring, MD
• Providers in Silver Spring, 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 Mar 6, 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.