Stellar Dental of Hyattsville, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

14124 Issued in MD

Legal business name

STELLAR DENTAL OF HYATTSVILLE, LLC

Practice address

5505 Sargent Rd Ste a
Hyattsville, MD 20782-2320

Phone

(301) 853-1567

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Allen GotoraNPI 1780831289

Title

Ceo

Phone

(301) 853-1567

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Allen Gotora, DDS

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1780831289
  NPD Authorized official
• Elaria Ibrahim Ghobrial, DDS

  • Dentist
  • Hyattsville, MD
  • NPI 1538691266
  NPD (past)
• Ermias A Semaie, DDS

  • General Practice Dentistry
  • Hyattsville, MD
  • NPI 1336633049
  NPD (past)

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1821495714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 GRIFFENDALE LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723180",
            "telephone_number": "202-203-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 SARGENT RD STE A",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822320",
            "telephone_number": "301-853-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR DENTAL OF HYATTSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "GOTORA",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-853-1567"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "14124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Stallard, M.D.
• Stanly
• Starlite Care Services, Inc.
• Paige Victoria Steele
• Stellar Dental Hyattsville, LLC
• Step-by-Step Therapeutic Services LLC
• Step-by-Step Therapeutic Services LLC
• Stephen Clark DDS LLC
• Jay Ivan Stern, M.D.
• Jay Sternberg, M.S.W.

• Dentist in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.