D and S Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

License

7155 Issued in MD

Legal business name

D AND S DENTAL ASSOCIATES

Practice address

4833 Bethesda Avenue
Suite 302
Bethesda, MD 20814-5244

Phone

(301) 657-3220

Fax

(301) 657-1669

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. George Michael Dougherty, DDS

Title

President

Phone

(301) 657-3220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1689844409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 BETHESDA AVENUE",
            "address_2": "SUITE 302",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145244",
            "telephone_number": "301-657-3220",
            "fax_number": "301-657-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 BETHESDA AVENUE",
            "address_2": "SUITE 302",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145244",
            "telephone_number": "301-657-3220",
            "fax_number": "301-657-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D AND S DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-657-3220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "7155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.