# IB DENTAL III

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- **Entity:** Organization
- **Status:** Active
- **Other names:** iBrush Family Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265983985
- **Authorized official:** DR. ROBERT SHEROD DAYSE D.D.S., M.B.A. (CEO AND PRESIDENT)
- **Authorized official phone:** (202) 297-1500

## Contact information

- **Practice address:** 2970 BELCREST CENTER DR, STE. 105, HYATTSVILLE, MD 20782-1987
- **Practice address phone:** (301) 567-5437
- **Practice address fax:** (301) 567-5456
- **Mailing address:** 2970 BELCREST CENTER DR, STE. 105, HYATTSVILLE, MD 20782-1912
- **Mailing address phone:** (301) 567-5437
- **Mailing address fax:** (301) 567-5456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 15968 | MD | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 14139 | MD | Yes |
| 126800000X | Dental Assistant | 02372 | MD | — |
| 126800000X | Dental Assistant | 18788 | MD | — |

## Other

- **Enumeration date:** 10/18/2016
- **Last updated:** 10/25/2016