Healthcare Provider Details

I. General information

NPI: 1821115346
Provider Name (Legal Business Name): ANDREW D. FINIZIO, DDS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6921 ANNAPOLIS RD
LANDOVER HILLS MD
20784-2140
US

IV. Provider business mailing address

14808 PHYSICIANS LN STE 112
ROCKVILLE MD
20850-3905
US

V. Phone/Fax

Practice location:
  • Phone: 301-577-7300
  • Fax: 301-577-7455
Mailing address:
  • Phone: 301-424-0606
  • Fax: 301-424-1925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number5057
License Number StateMD

VIII. Authorized Official

Name: ANDREW FINIZIO
Title or Position: DENTIST
Credential: DDS
Phone: 301-424-0606