MEDICARE: BETHESDA FAMILY DENTAL

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1437082294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHESDA FAMILY DENTAL

Provider Business Mailing Address
First Line	:	9800 MARQUETTE DR
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1748
Country	:	US
Telephone Number	:	301-493-4204
Fax Number	:

Provider Business Practice Location Address
First Line	:	9800 MARQUETTE DR
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1748
Country	:	US
Telephone Number	:	301-493-4204
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	CURTIS SMITH
Credential	:
Telephone Number	:	505-870-8902

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “BETHESDA FAMILY DENTAL ” Practice Location

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