Healthcare Provider Details

I. General information

NPI: 1356476394
Provider Name (Legal Business Name): M&R DENTAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 E RANDOLPH RD SUITE A
SILVER SPRING MD
20904-3274
US

IV. Provider business mailing address

512 E RANDOLPH RD SUITE A
SILVER SPRING MD
20904-3274
US

V. Phone/Fax

Practice location:
  • Phone: 301-384-9800
  • Fax:
Mailing address:
  • Phone: 301-384-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number6922
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number12459
License Number StateMD

VIII. Authorized Official

Name: DR. MAURICE NELSON GUNRAJ
Title or Position: OWNER
Credential: DDS
Phone: 301-384-9800