Organization Active NPI

MJ Cosmetic Dentistryllc

  • General Practice Dentistry
  • Gaithersburg, MD
National Provider Identifier
1932032786
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MJ COSMETIC DENTISTRYLLC
Practice address
20036 Goshen Rd
Gaithersburg, MD 20879-1604
Phone
(240) 683-6009
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Dr. Enrique Farina, DMDNPI 1720363781
Title
Owner
Phone
(301) 801-9478

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

20036 Goshen Rd
Gaithersburg, MD 20879-1604

Mailing address

9548 Melrose Square Way
Gaithersburg, MD 20882-2718
Phone (301) 801-9478

Other practice location 1

438 N Frederick Ave # 200
Gaithersburg, MD 20877-2458
Phone (240) 683-6009

Other names 1

  • MJ FAMILY & COSMETIC DENTISTRYLLC Doing business as

National Provider Directory

National Provider Directory

Locations

20036 Goshen Rd
Gaithersburg, MD 20879
Phone (240) 683-6009

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": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1932032786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9548 MELROSE SQUARE WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208822718",
            "telephone_number": "301-801-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20036 GOSHEN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208791604",
            "telephone_number": "240-683-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 N Frederick Ave # 200",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772458",
            "country_code": "US",
            "telephone_number": "240-683-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MJ COSMETIC DENTISTRYLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "FARINA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-801-9478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MJ FAMILY & COSMETIC DENTISTRYLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.