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General NPI Number Information
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NPI Number | 1457359242
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Entity Type | Organization
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Legal Business Name | BAY DENTAL GROUP, L.L.C.
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 22738 MAPLE RD SUITE 214
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-3347
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Country | US
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Telephone | 301-862-3227
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Fax | 301-862-3385
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Provider Business Mailing Address
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Address Line | 22738 MAPLE RD SUITE 214
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-3347
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Country | US
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Telephone | 301-862-3227
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Fax | 301-862-3385
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT F. PRIOR
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Credential | D.M.D.
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Telephone | 301-862-3227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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