Healthcare Provider Details

I. General information

NPI: 1407769797
Provider Name (Legal Business Name): AMJED DENTAL GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5448 SAINT BARNABAS RD
OXON HILL MD
20745-3622
US

IV. Provider business mailing address

5448 SAINT BARNABAS RD
OXON HILL MD
20745-3622
US

V. Phone/Fax

Practice location:
  • Phone: 518-526-4991
  • Fax:
Mailing address:
  • Phone: 518-526-4991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MAAZ AMJED
Title or Position: OWNER
Credential: DMD
Phone: 518-526-4991