MEDICARE: ROBERT D. TESTEN, DDS PC

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	1223P0221X	Pediatric Dentistry	11748	MD

General Provider Information

NPI Number	:	1881764330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT D. TESTEN, DDS PC

Provider Business Mailing Address
First Line	:	20500 SENECA MEADOWS PKWY
Second Line	:	# 2300
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-7008
Country	:	US
Telephone Number	:	301-540-5757
Fax Number	:	301-540-2477

Provider Business Practice Location Address
First Line	:	20500 SENECA MEADOWS PKWY
Second Line	:	# 2300
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-7008
Country	:	US
Telephone Number	:	301-540-5757
Fax Number	:	301-540-2477

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT D TESTEN
Credential	:	DDS
Telephone Number	:	301-540-5757

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	08/22/2020

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