Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SHADY GROVE MODERN DENTAL PC
Active
Organization
SHADY GROVE MODERN DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUY TAM TRAN KIEM DMD (PRESIDENT)
(301) 330-4613
Entity
Organization
Contact information
Practice address
9051 SHADY GROVE COURT, GAITHERSBURG, MD 20877
(301) 330-4613
(301) 330-4619
Mailing address
9051 SHADY GROVE COURT, GAITHERSBURG, MD 20877
(301) 330-4613
(301) 330-4619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11662
MD
Other
Enumeration date
06/20/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers