MEDICARE: TOPDENTAL MARYLAND- SILVER SPRING

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1689431868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOPDENTAL MARYLAND- SILVER SPRING

Provider Business Mailing Address
First Line	:	10230 NEW HAMPSHIRE AVE STE 104
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1422
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10230 NEW HAMPSHIRE AVE STE 104
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1422
Country	:	US
Telephone Number	:	703-393-9393
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ANA SIERRA
Credential	:
Telephone Number	:	571-251-4679

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	03/04/2024

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