NPIMap

Organization Active NPI

Maryland Dental Affiliates, P.C.

Doing business as Frederick Perio & Implants

  • General Practice Dentistry
  • Frederick, MD
National Provider Identifier
1962199240
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARYLAND DENTAL AFFILIATES, P.C.
Doing business as
Frederick Perio & Implants
Practice address
77 Thomas Johnson Dr Ste D
Frederick, MD 21702-4893
Phone
(301) 698-5998
NPI assigned
Apr 18, 2023
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Behnaz Yalda, DMDNPI 1477659571
Title
Managing Dentist
Phone
(301) 698-5998

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 Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

77 Thomas Johnson Dr Ste D
Frederick, MD 21702-4893

Mailing address

77 Thomas Johnson Dr Ste D
Frederick, MD 21702-4893
Phone (301) 698-5998

Other names 1

  • Frederick Perio & Implants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frederick Perio Implants2 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.

Locations

77 Thomas Johnson Dr
Ste D
Frederick, MD 21702
Phone (301) 698-5998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1962199240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-698-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-698-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND DENTAL AFFILIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "YALDA",
        "authorized_official_first_name": "BEHNAZ",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "301-698-5998",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Perio & Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.