Active NPI
Umoren Dental Services PC
- General Practice Dentistry
- Hyattsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10066
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mfon Etesin Umoren, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024095800 | Medicaid | MD | |
| 121969960 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Hyattsville, MD
- NPI 1770634248
General Practice
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.