Healthcare Provider Details

I. General information

NPI: 1518658756
Provider Name (Legal Business Name): MARY'S CENTER FOR MATERNAL & CHILD CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 UNIVERSITY BLVD W SILVER SPRING
SILVER SPRING MD
20901
US

IV. Provider business mailing address

2333 ONTARIO ROAD NW
WASHINGTON DC
20003
US

V. Phone/Fax

Practice location:
  • Phone: 844-796-2797
  • Fax: 202-483-0302
Mailing address:
  • Phone: 202-483-8196
  • Fax: 202-483-0302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE MARGARETA POWELL-DAVIS
Title or Position: CHIEF MEDICAL OFFICER
Credential:
Phone: 202-424-2655