NPIMap

Organization Active NPI

Silverspoon Dental and Associates

  • Dentist
  • Bowie, MD
National Provider Identifier
1962365288
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SILVERSPOON DENTAL AND ASSOCIATES
Practice address
12300 Kemmerton LN
Bowie, MD 20715-2721
Phone
(301) 262-1888
Fax
(301) 262-1899
NPI assigned
Dec 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Dr. Tyrus G Montgomery, DMDNPI 1871714766
Title
Dentist
Phone
(301) 266-1888

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 Primary

Addresses

Primary practice location

12300 Kemmerton LN
Bowie, MD 20715-2721

Mailing address

12300 Kemmerton LN
Bowie, MD 20715-2721
Phone (301) 262-1888

National Provider Directory

National Provider Directory
Tax ID family
Silverspoon Dental and Associates2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1962365288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 KEMMERTON LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152721",
            "telephone_number": "301-262-1888",
            "fax_number": "301-262-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 KEMMERTON LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152721",
            "telephone_number": "301-262-1888",
            "fax_number": "301-262-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERSPOON DENTAL AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "TYRUS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-266-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.