NPIMap

Organization Active NPI

Dental Associates of Greater Maryland

  • Dental Clinic/Center
  • Temple Hills, MD
National Provider Identifier
1710227863
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
13144 Issued in MD
Legal business name
DENTAL ASSOCIATES OF GREATER MARYLAND
Practice address
6339 Allentown Rd Ste E
Temple Hills, MD 20748-2600
Phone
(301) 449-2800
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Dr. Stanley J. Park
Title
Co-Owner
Phone
(410) 997-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 13144 MD Primary

Addresses

Primary practice location

6339 Allentown Rd Ste E
Temple Hills, MD 20748-2600

Mailing address

6339 Allentown Rd Ste E
Temple Hills, MD 20748-2600
Phone (301) 449-2800

Other identifiers 1

IdentifierTypeStateIssuer
020167700MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1710227863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 ALLENTOWN RD STE E",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207482600",
            "telephone_number": "301-449-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 ALLENTOWN RD STE E",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207482600",
            "telephone_number": "301-449-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF GREATER MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "410-997-8383",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "13144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020167700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.