# DENTAL ASSOCIATES OF FREDERICK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891150744
- **Authorized official:** DR. KEVIN SCOTT OAKES D.D.S. (PRESIDENT)
- **Authorized official phone:** (301) 668-7700

## Contact information

- **Practice address:** 196 THOMAS JOHNSON DR, SUITE 235, FREDERICK, MD 21702-4397
- **Practice address phone:** (301) 668-7700
- **Mailing address:** 196 THOMAS JOHNSON DR, SUITE 235, FREDERICK, MD 21702-4397
- **Mailing address phone:** (301) 668-7700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 14295 | MD | Yes |

## Other

- **Enumeration date:** 12/18/2015
- **Last updated:** 12/18/2015