Stellar Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

14124 Issued in MD

Legal business name

STELLAR DENTAL, LLC

Practice address

11239 Lockwood Dr
Silver Spring, MD 20901-4554

Phone

(301) 753-1900

NPI assigned

Nov 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Allen Gotora, DDSNPI 1780831289

Title

Ceo

Phone

(202) 203-0230

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Stellar Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stellar Dental, LLC

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1467018747
  NPD tax ID

Practitioners 1

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

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1902202211",
    "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": "11239 LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014554",
            "telephone_number": "301-753-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "GOTORA",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-203-0230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "14124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199657",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Stein, D.O.
• Elizabeth Bayne Stein
• Miranda Steinbeck
• Emily Steinhafel
• Stellar Dental, LLC
• Step by Step Care LLC
• Stephen Park, D.D.S.
• Sheryl Y Stephens-Trask, LCSW-C
• David Stephenson, LGSW
• Stepping Stone Treatment Program Inc

• Dentist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.