Shady Grove Children'S Gad, Llc

LBN: Shady Grove Children'S Gad, Llc
Shady Grove Children'S Gad, Llc is an health care organization with primary practice located at 15001 Shady Grove Rd Ste 110 , Rockville MD 20850-6354. The organization recently has 7 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Dental Providers / Dentist is the primary health care specialty. Shady Grove Children'S Gad, Llc can be contacted via phone (301) 494-3000, or through Wheeler, Jeffrey via phone (301) 494-3000.

Contact Information

Primary practice address
15001 Shady Grove Rd Ste 110 Rockville MD 20850-6354
Phone: (301) 494-3000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wheeler, Jeffrey
Phone: (301) 494-3000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dentist Anesthesiologist 1223D0004X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1104516194
LBN Legal business name Shady Grove Children'S Gad, Llc
DBA Doing business as
Authorized official Wheeler, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2023
Last updated Apr 5th, 2024 - about last year

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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