Dental Galleria Of Beautiful Smiles Pc

LBN: Dental Galleria Of Beautiful Smiles Pc
Dental Galleria Of Beautiful Smiles Pc is an health care organization with primary practice located at 8737 Colesville Rd Suite Ll105, Silver Spring MD 20910-3928. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dental Galleria Of Beautiful Smiles Pc can be contacted via phone (301) 588-3083, or through Brock, Johnette via phone (301) 588-3083.

Contact Information

Primary practice address
8737 Colesville Rd Suite Ll105 Silver Spring MD 20910-3928
Phone: (301) 588-3083
Fax: (301) 588-3084
Website:
Map and Directions
Authorized official contact:
Name: Brock, Johnette Doctor of Dental Surgery (DDS)
Phone: (301) 588-3083

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12758 Maryland

Profile Details

NPI number 1063685345
LBN Legal business name Dental Galleria Of Beautiful Smiles Pc
DBA Doing business as
Authorized official Brock, Johnette Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2008
Last updated Apr 8th, 2008 - about 16 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 1063685345 NPPES
Maryland MEDICAID 011819200
Maryland MEDICAID 039279700

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