Glander Fitchett Jr., DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09698 Issued in MD

Practice address

603 Post Office Rd
208
Waldorf, MD 20602-1914

Phone

(301) 870-7077

Fax

(301) 843-8030

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Post Office Lake Dental Associates

  • General Practice Dentistry
  • Waldorf, MD
  • NPI 1962663203
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871581777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 POST OFFICE RD",
            "address_2": "208",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021914",
            "telephone_number": "301-870-7077",
            "fax_number": "301-843-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 POST OFFICE RD",
            "address_2": "208",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021914",
            "telephone_number": "301-870-7077",
            "fax_number": "301-843-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCHETT",
        "first_name": "GLANDER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "09698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydonney Fields
• Vincent J Fighera, LCPC
• Finizio - Radiology Imaging Associates, PC
• Finizio - Radiology Imaging Assoicates, P.C.
• First Source Caregivers LLC
• Anyen Fon
• Tamika Fontaine, P. T.
• Don J. Fontana, M.D.
• Mikayla Foo, PT
• Sonya Ford-Becton

• General Practice Dentistry in Waldorf, MD
• Providers in Waldorf, 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.