Dow Clark Dental Associates

LBN: Dow Clark Dental Associates
Dow Clark Dental Associates is an health care organization with primary practice located at 6188 Oxon Hill Rd Suite 604, Oxon Hill MD 20745-3113. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dow Clark Dental Associates can be contacted via phone (301) 686-1070, or through Clark, Fredrick Douglass via phone (301) 686-1070.

Contact Information

Primary practice address
6188 Oxon Hill Rd Suite 604 Oxon Hill MD 20745-3113
Fax: (301) 686-1072
Website:
Authorized official contact:
Name: Clark, Fredrick Douglass Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1821220294
LBN Legal business name Dow Clark Dental Associates
DBA Doing business as
Authorized official Clark, Fredrick Douglass Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2009
Last updated Aug 18th, 2009 - about 15 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 1821220294 NPPES
Maryland MEDICAID 05724244

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