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NPI · 1508802414 · NPPES-sourced

Shady Grove Modern Dental PC

ActiveDentist
NPI Number
1508802414
Type 2 · Organisation
Taxonomy Code
122300000X
Contact
(301) 330-4613
License MD · 11662
Last Updated
Enumerated
Primary practice addressMD · 20877
9051 Shady Grove CourtGaithersburg, MD 20877
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About this NPIWhat this record shows.

NPI 1508802414 is registered to Shady Grove Modern Dental PC, a healthcare organisation classified as "Dentist" and located at 9051 Shady Grove Court in Gaithersburg, Maryland. The organisation's authorised official is Duy Tam Tran Kiem. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Shady Grove Modern Dental PC accepts. To confirm in-network status with your specific health plan, contact Shady Grove Modern Dental PC directly at (301) 330-4613.

Frequently asked

Yes. NPI 1508802414 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (301) 330-4613.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Shady Grove Modern Dental PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy122300000X
Last updated
Enumerated
StatusActive
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