Shady Grove Modern Dental Pc

LBN: Shady Grove Modern Dental Pc
Shady Grove Modern Dental Pc is an health care organization with primary practice located at 9051 Shady Grove Court , Gaithersburg MD 20877. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Shady Grove Modern Dental Pc can be contacted via phone (301) 330-4613, or through Tran Kiem, Duy Tam via phone (301) 330-4613.

Contact Information

Primary practice address
9051 Shady Grove Court Gaithersburg MD 20877
Phone: (301) 330-4613
Fax: (301) 330-4619
Website:
Map and Directions
Authorized official contact:
Name: Tran Kiem, Duy Tam Doctor of Dental Medicine (DMD)
Phone: (301) 330-4613

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11662 Maryland

Profile Details

NPI number 1508802414
LBN Legal business name Shady Grove Modern Dental Pc
DBA Doing business as
Authorized official Tran Kiem, Duy Tam Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 22nd, 2020 - about 5 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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