Organization Active NPI

University Centre Dental Assoc. P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greenbelt, MD
National Provider Identifier
1598930729
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10904 Issued in MD
Legal business name
UNIVERSITY CENTRE DENTAL ASSOC. P.C.
Practice address
7833 Walker Dr
Suite 10
Greenbelt, MD 20770-3211
Phone
(301) 220-1900
Fax
(301) 474-0433
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Elizabeth Jean Haynes, D.D.S.NPI 1942348172
Title
Orthodontist
Phone
(301) 220-1900

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10904 MD Primary

Addresses

Primary practice location

7833 Walker Dr
Suite 10
Greenbelt, MD 20770-3211

Mailing address

7833 Walker Dr
Suite 10
Greenbelt, MD 20770-3211
Phone (301) 220-1900

National Provider Directory

National Provider Directory

Locations

7833 Walker Dr
Ste 10
Greenbelt, MD 20770
Phone (301) 220-1900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1598930729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7833 WALKER DR",
            "address_2": "SUITE 10",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703211",
            "telephone_number": "301-220-1900",
            "fax_number": "301-474-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7833 WALKER DR",
            "address_2": "SUITE 10",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703211",
            "telephone_number": "301-220-1900",
            "fax_number": "301-474-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CENTRE DENTAL ASSOC. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "301-220-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "10904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.