Healthcare Provider Details

I. General information

NPI: 1548118482
Provider Name (Legal Business Name): FAMILY & IMPLANT DENTISTRY OF MARYLAND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13975 CONNECTICUT AVE STE 305
ASPEN HILL MD
20906-2921
US

IV. Provider business mailing address

13975 CONNECTICUT AVE STE 305
ASPEN HILL MD
20906-2921
US

V. Phone/Fax

Practice location:
  • Phone: 301-460-5855
  • Fax:
Mailing address:
  • Phone: 301-460-5855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. WHITNEY R CALDWELL
Title or Position: DENTIST /OWNER
Credential: DDS
Phone: 202-425-3680