Healthcare Provider Details

I. General information

NPI: 1528991320
Provider Name (Legal Business Name): ERIC A ENDRES DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 NATIONAL DR STE 170
BURTONSVILLE MD
20866-6102
US

IV. Provider business mailing address

3802 LELAND ST
CHEVY CHASE MD
20815-4902
US

V. Phone/Fax

Practice location:
  • Phone: 301-989-0088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC ENDRES
Title or Position: OWNER
Credential: DDS
Phone: 443-824-4831