Healthcare Provider Details

I. General information

NPI: 1568371987
Provider Name (Legal Business Name): ADRIANA ESPINOZA VERNIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 THOMAS JOHNSON DR STE 6
FREDERICK MD
21702-4440
US

IV. Provider business mailing address

907 HILLSIDE LAKE TER APT 511
GAITHERSBURG MD
20878-5243
US

V. Phone/Fax

Practice location:
  • Phone: 301-835-1010
  • Fax:
Mailing address:
  • Phone: 646-249-0213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number19033
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number19033
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: