Paul David Bederson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6937 Issued in MD

Practice address

4033 Silver Hill Rd
Suitland, MD 20746-2700

Phone

(301) 899-2500

Fax

(301) 899-2503

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801012356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 SILVER HILL RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207462700",
            "telephone_number": "301-899-2500",
            "fax_number": "301-899-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 SILVER HILL RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207462700",
            "telephone_number": "301-899-2500",
            "fax_number": "301-899-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDERSON",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Severine Anye
• Constance Banks
• Malcolm Banks Jr.
• Tierionna Dominique Barnes
• Ayanna Beard, MD
• Chrishawnn E Bell
• Leeanna A. Belton, LICSW
• Betty Toloria Braswell, MD, PC (Sunset Family Medical Center)
• Beyond Dental
• Bio-Medical Applications of Maryland, Inc. (Bma Camp Springs)

• General Practice Dentistry in Suitland, MD
• Providers in Suitland, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.