Healthcare Provider Details

I. General information

NPI: 1457359242
Provider Name (Legal Business Name): BAY DENTAL GROUP, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22738 MAPLE RD SUITE 214
LEXINGTON PARK MD
20653-3347
US

IV. Provider business mailing address

22738 MAPLE RD SUITE 214
LEXINGTON PARK MD
20653-3347
US

V. Phone/Fax

Practice location:
  • Phone: 301-862-3227
  • Fax: 301-862-3385
Mailing address:
  • Phone: 301-862-3227
  • Fax: 301-862-3385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT F. PRIOR
Title or Position: OWNER
Credential: D.M.D.
Phone: 301-862-3227