NPIMap

Organization Active NPI

Mazza Center for Implant and Esthetic Dentistry

  • Dentist
  • Bethesda, MD
National Provider Identifier
1831361831
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12099 Issued in MD
Legal business name
MAZZA CENTER FOR IMPLANT AND ESTHETIC DENTISTRY
Practice address
4300 Montgomery Ave Ste 101
Bethesda, MD 20814-4413
Phone
(301) 986-0025
Fax
(301) 986-0027
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. David V MazzaNPI 1396814133
Title
President
Phone
(301) 986-0025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12099 MD Primary

Addresses

Primary practice location

4300 Montgomery Ave Ste 101
Bethesda, MD 20814-4413

Mailing address

4300 Montgomery Ave Ste 101
Bethesda, MD 20814-4413
Phone (301) 986-0025

National Provider Directory

National Provider Directory

Locations

4300 Montgomery Ave
Ste 101
Bethesda, MD 20814
Phone (301) 986-0025

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1831361831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MONTGOMERY AVE STE 101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144413",
            "telephone_number": "301-986-0025",
            "fax_number": "301-986-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MONTGOMERY AVE STE 101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144413",
            "telephone_number": "301-986-0025",
            "fax_number": "301-986-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZZA CENTER FOR IMPLANT AND ESTHETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-986-0025",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "12099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.