NPIMap

Organization Active NPI

Lynnalan Family Dental Center

  • Dental Clinic/Center
  • Fort Washington, MD
National Provider Identifier
1639722184
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LYNNALAN FAMILY DENTAL CENTER
Practice address
8800 Old Palmer Rd
Fort Washington, MD 20744-3662
Phone
(301) 248-4200
NPI assigned
Jul 23, 2019
Last updated
Jul 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Rochelle Nunez, DMD
Title
Owner
Phone
(301) 248-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8800 Old Palmer Rd
Fort Washington, MD 20744-3662

Mailing address

8800 Old Palmer Rd
Fort Washington, MD 20744-3662

National Provider Directory

National Provider Directory

Locations

8800 Old Palmer Rd
Fort Washington, MD 20744
Phone (301) 248-4200

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": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1639722184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 OLD PALMER RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 OLD PALMER RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443662",
            "telephone_number": "301-248-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNALAN FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-248-4200",
        "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 Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.