Organization Active NPI

Ben Manesh DDS VII LLC

Doing business as Supertooth at Germantown

  • General Practice Dentistry
  • Germantown, MD
National Provider Identifier
1700408101
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEN MANESH DDS VII LLC
Doing business as
Supertooth at Germantown
Practice address
19851 Observation Dr Ste 355
Germantown, MD 20876-4139
Phone
(301) 972-4400
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Tugba Celik
Title
Office Manager
Phone
(301) 986-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

19851 Observation Dr Ste 355
Germantown, MD 20876-4139

Mailing address

19851 Observation Dr Ste 355
Germantown, MD 20876-4139

Other names 1

  • Supertooth at Germantown Doing business as

National Provider Directory

National Provider Directory

Locations

19851 Observation Dr
Ste 355
Germantown, MD 20876
Phone (301) 799-2000

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": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1700408101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19851 OBSERVATION DR STE 355",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19851 OBSERVATION DR STE 355",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764139",
            "telephone_number": "301-972-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN MANESH DDS VII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "CELIK",
        "authorized_official_first_name": "TUGBA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-986-8777"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supertooth at Germantown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.