Center For Advanced Dentistry LLC
Clinic/Center, Dental in Silver Spring, MD. Organization (NPI-2).
Details
- NPI
- 1033683024
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Advanced Dentistry LLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2019
- Certification date
- Nov 10, 2025
- Last updated
- Nov 10, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
10301 Georgia Ave Ste 307Silver Spring, MD 20902-5020
Phone 301-593-4200 · Fax 301-754-1614
Mailing address
10301 Georgia Ave Ste 307Silver Spring, MD 20902-5020
Phone 301-593-4200 · Fax 301-754-1614
Authorized official
Shanna Rose Mark
Office Manager
3015934200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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