Healthcare Provider Details

I. General information

NPI: 1366963993
Provider Name (Legal Business Name): RCT ENDODONTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2017
Last Update Date: 07/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 PERSHING DR. #102
SILVER SPRING MD
20910
US

IV. Provider business mailing address

804 PERSHING DR. #102
SILVER SPRING MD
20910
US

V. Phone/Fax

Practice location:
  • Phone: 301-562-9455
  • Fax: 301-562-1155
Mailing address:
  • Phone: 301-562-9455
  • Fax: 301-562-1155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD CECIL TAYLOR
Title or Position: OWNER
Credential: DDS, MSD
Phone: 301-562-9455