Healthcare Provider Details

I. General information

NPI: 1104751726
Provider Name (Legal Business Name): LONGHUI GAO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 GREENWAY CENTER DR STE 102
GREENBELT MD
20770-3525
US

IV. Provider business mailing address

7525 GREENWAY CENTER DR STE 102
GREENBELT MD
20770-3525
US

V. Phone/Fax

Practice location:
  • Phone: 301-778-2806
  • Fax:
Mailing address:
  • Phone: 301-778-2806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18999
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: