Healthcare Provider Details

I. General information

NPI: 1972431484
Provider Name (Legal Business Name): AMERICAN URGENT DENTAL GREENBELT MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7861 BELLE POINT DR
GREENBELT MD
20770-3350
US

IV. Provider business mailing address

176 THOMAS JOHNSON DR STE 202
FREDERICK MD
21702-4534
US

V. Phone/Fax

Practice location:
  • Phone: 240-241-0342
  • Fax:
Mailing address:
  • Phone: 301-524-4543
  • 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: ERIN PRESGRAVES
Title or Position: REGIONAL DIRECTOR
Credential: PRESGRAVES
Phone: 301-524-4543