Organization Active NPI

Umoren Dental Services PC

  • General Practice Dentistry
  • Hyattsville, MD
National Provider Identifier
1619008620
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10066 Issued in MD
Legal business name
UMOREN DENTAL SERVICES PC
Practice address
6495 New Hampshire Avenue
Suite B250
Hyattsville, MD 20783
Phone
(301) 439-5868
Fax
(301) 439-9528
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Dr. Mfon Etesin Umoren, DDSNPI 1770634248
Title
President
Phone
(301) 439-5868

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 10066 MD Primary

Addresses

Primary practice location

6495 New Hampshire Avenue
Suite B250
Hyattsville, MD 20783

Mailing address

6495 New Hampshire Avenue
Suite B250
Hyattsville, MD 20783
Phone (301) 439-5868

Other identifiers 2

IdentifierTypeStateIssuer
024095800MedicaidMD
121969960MedicaidMD

National Provider Directory

National Provider Directory

Locations

7411 Riggs Rd
Ste 326
Adelphi, MD 20783

6495 New Hampshire Ave
Ste B250
Hyattsville, MD 20783
Phone (301) 439-5868

Practitioners & affiliated clinicians

Practitioners 1

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1619008620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVENUE",
            "address_2": "SUITE B250",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20783",
            "telephone_number": "301-439-5868",
            "fax_number": "301-439-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVENUE",
            "address_2": "SUITE B250",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20783",
            "telephone_number": "301-439-5868",
            "fax_number": "301-439-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMOREN DENTAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "UMOREN",
        "authorized_official_first_name": "MFON",
        "authorized_official_middle_name": "ETESIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-439-5868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024095800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121969960",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.