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NPI Code Detail

MEDICARE: OMEGA DENTAL GROUP LLC

MEDICARE: OMEGA DENTAL GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1366255424
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMEGA DENTAL GROUP LLC
Provider Business Mailing Address
First Line : 806 W DIAMOND AVE STE 330
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20878-1470
Country : US
Telephone Number : 301-838-9300
Fax Number : 301-838-9304
Provider Business Practice Location Address
First Line : 806 W DIAMOND AVE STE 330
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20878-1470
Country : US
Telephone Number : 301-838-9300
Fax Number : 301-838-9304
Authorized Official
Title or Position : DENTIST OWNER
Name : DR. DIPTY MAHAJAN
Credential : DMD
Telephone Number : 240-543-5495
Provider Enumeration Date : 01/30/2025
Last Update Date : 01/30/2025

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Directions to “OMEGA DENTAL GROUP LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.