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NPI Code Detail

MEDICARE: BAY DENTAL GROUP, L.L.C.

MEDICARE: BAY DENTAL GROUP, L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodontics
21223P0300XPeriodontics
3124Q00000XDental Hygienist

General Provider Information

NPI Number : 1457359242
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAY DENTAL GROUP, L.L.C.
Provider Business Mailing Address
First Line : 22738 MAPLE RD
Second Line : SUITE 214
City : LEXINGTON PARK
State : MD
Zip : 20653-3347
Country : US
Telephone Number : 301-862-3227
Fax Number : 301-862-3385
Provider Business Practice Location Address
First Line : 22738 MAPLE RD
Second Line : SUITE 214
City : LEXINGTON PARK
State : MD
Zip : 20653-3347
Country : US
Telephone Number : 301-862-3227
Fax Number : 301-862-3385
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT F. PRIOR
Credential : D.M.D.
Telephone Number : 301-862-3227
Provider Enumeration Date : 07/14/2005
Last Update Date : 09/11/2025

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Directions to “BAY DENTAL GROUP, L.L.C. ” Practice Location

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