Upper Marlboro Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

UPPER MARLBORO FAMILY DENTISTRY

Practice address

9614 Marlboro Pike
Upper Marlboro, MD 20772-3670

Phone

(301) 599-1119

Fax

(301) 599-1620

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Afolabi Hakeem Martins, DDS

Title

President/ General Dentist

Phone

(301) 770-2800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kassahun H Hailu, D.D.S

  • General Practice Dentistry
  • Rockville, MD
  • NPI 1871777391
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1801068085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9614 MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723670",
            "telephone_number": "301-599-1119",
            "fax_number": "301-599-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723670",
            "telephone_number": "301-599-1119",
            "fax_number": "301-599-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER MARLBORO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "MARTINS",
        "authorized_official_first_name": "AFOLABI",
        "authorized_official_middle_name": "HAKEEM",
        "authorized_official_title_or_position": "PRESIDENT/ GENERAL DENTIST",
        "authorized_official_telephone_number": "301-770-2800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Upper Marlboro, MD
• Providers in Upper Marlboro, 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 Mar 28, 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.