Healthcare Provider Details

I. General information

NPI: 1326926338
Provider Name (Legal Business Name): ELIZA MARIE DENT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12250 ROCKVILLE PIKE STE 209
NORTH BETHESDA MD
20852-1637
US

IV. Provider business mailing address

12250 ROCKVILLE PIKE STE 209
NORTH BETHESDA MD
20852-1637
US

V. Phone/Fax

Practice location:
  • Phone: 240-669-9403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number02975
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: