Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Other names
DHHS Dental Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Authorized official
MRS. JAMEELAH JOHNSON (MANAGER)
(240) 733-1121
Entity
Organization
Contact information
Practice address
1335 PICCARD DR, 1ST FLOOR DENTAL SUITE, ROCKVILLE, MD 20850-4359
(240) 777-1820
(240) 777-1080
Mailing address
401 HUNGERFORD DR FL 6, ROCKVILLE, MD 20850-4154
(240) 777-4520
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420870600
—
MD
Enumeration date
08/16/2011
Last updated
05/10/2024
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