Shady Grove Children's Gad, Llc - Dental Clinic in Rockville, MD

Shady Grove Children's Gad, Llc is a dental clinic (Dentist) in Rockville, Maryland. The current practice location for Shady Grove Children's Gad, Llc is 15001 Shady Grove Rd Ste 110, Rockville, Maryland. For appointments, you can reach them via phone at (301) 494-3000. The mailing address for Shady Grove Children's Gad, Llc is 1220 Caraway Ct Ste 1050, Upper Marlboro, Maryland and phone number is (301) 494-3000.

Shady Grove Children's Gad, Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1104516194. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (301) 494-3000.

Contact Information

Shady Grove Children's Gad, Llc
15001 Shady Grove Rd Ste 110
Rockville
MD 20850-6354
(301) 494-3000
Not Available

Dental Care Clinic Profile

Full NameShady Grove Children's Gad, Llc
SpecialityDentist
Location15001 Shady Grove Rd Ste 110, Rockville, Maryland
Authorized Official Name and PositionJeffrey Wheeler (CEO)
Authorized Official Contact3014943000
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shady Grove Children's Gad, Llc
1220 Caraway Ct Ste 1050
Upper Marlboro
MD 20774-5338

Ph: (301) 494-3000
Shady Grove Children's Gad, Llc
15001 Shady Grove Rd Ste 110
Rockville
MD 20850-6354

Ph: (301) 494-3000

NPI Details:

NPI Number1104516194
Provider Enumeration Date05/11/2023
Last Update Date04/05/2024

Medical Identifiers

Medical identifiers for Shady Grove Children's Gad, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104516194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist (* (Not Available))Primary
1223D0004XDentist - Dentist Anesthesiologist (* (Not Available))Secondary
1223G0001XDentist - General Practice (* (Not Available))Secondary
1223P0221XDentist - Pediatric Dentistry (* (Not Available))Secondary
207L00000XAnesthesiology (* (Not Available))Secondary
207LP3000XAnesthesiology - Pediatric Anesthesiology (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered (* (Not Available))Secondary

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