Age One Pediatric Dentistry

LBN: Age One Pediatric Dentistry
Age One Pediatric Dentistry is an health care organization with primary practice located at 10313 Georgia Ave Ste 210 , Silver Spring MD 20902-5006. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Age One Pediatric Dentistry can be contacted via phone (301) 565-3536, or through Williams-Conerly, Claudia via phone (301) 565-3536.

Contact Information

Primary practice address
10313 Georgia Ave Ste 210 Silver Spring MD 20902-5006
Phone: (301) 565-3536
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams-Conerly, Claudia Doctor of Dental Surgery (DDS)
Phone: (301) 565-3536

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 14126 Maryland

Profile Details

NPI number 1891186664
LBN Legal business name Age One Pediatric Dentistry
DBA Doing business as
Authorized official Williams-Conerly, Claudia Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2015
Last updated Jan 25th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891186664 NPPES
Maryland MEDICAID 028818700

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