Healthcare Provider Details

I. General information

NPI: 1578400032
Provider Name (Legal Business Name): BURTONSVILLE CENTER FOR DENTAL SLEEP MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 NATIONAL DR STE 370
BURTONSVILLE MD
20866-6117
US

IV. Provider business mailing address

13942 BROMFIELD RD
GERMANTOWN MD
20874-2293
US

V. Phone/Fax

Practice location:
  • Phone: 301-250-0867
  • Fax:
Mailing address:
  • Phone: 301-250-0867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. ZHUOXUN CHEN
Title or Position: CO-OWNER
Credential: DDS, PHD
Phone: 301-250-0867