Organization
SHADY GROVE DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMINE ERKMEN DDS (OWNER)
(301) 610-7724
Entity
Organization
Contact information
Practice address
14955 SHADY GROVE RD, SUITE 360, ROCKVILLE, MD 20850-8700
(301) 610-7724
(301) 610-7735
Mailing address
14955 SHADY GROVE RD, SUITE 360, ROCKVILLE, MD 20850-8700
(301) 610-7724
(301) 610-7735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12735
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649330473
INDIVIDUAL NPI NUMBER
MD
Enumeration date
05/23/2007
Last updated
08/22/2020
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