Healthcare Provider Details

I. General information

NPI: 1750688024
Provider Name (Legal Business Name): RICHARD S NEMES SR. DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2011
Last Update Date: 02/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 MILESTONE DR
SILVER SPRING MD
20904-2737
US

IV. Provider business mailing address

1406 MILESTONE DR
SILVER SPRING MD
20904-2737
US

V. Phone/Fax

Practice location:
  • Phone: 301-622-3200
  • Fax:
Mailing address:
  • Phone: 301-622-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number3935
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: