AESTHETIC DERMATOLOGY AND DERMATOLOGIC SURGERY CENTER
NPI 1104068790
Specialist in Bowie, MD

Q: What is Aesthetic Dermatology And Dermatologic Surgery Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 30, 2009

4321 COLLINGTON RD, SUITE 230, BOWIE, MD 20716(301) 809-4321(301) 809-5798 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Aesthetic Dermatology And Dermatologic Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AESTHETIC DERMATOLOGY AND DERMATOLOGIC SURGERY CENTER (NPI 1104068790) is a healthcare organization registered as a specialist in Bowie, Maryland and active in the NPI registry since March 2009. The organization lists Debra A Coats-walton, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104068790

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameAESTHETIC DERMATOLOGY AND DERMATOLOGIC SURGERY CENTER

Location Address4321 COLLINGTON RD, SUITE 230Bowie, MD 20716

Mailing Address4321 Collington Rd, Suite 230Bowie, MD 20716-2259 · (301) 809-4321 · Fax (301) 809-5798

Phone(301) 809-4321

Fax(301) 809-5798

Organization SubpartNo

Authorized OfficialDebra A Coats-waltonMedical Director · (301) 809-4321

Enumeration DateMarch 30, 2009

Last NPPES UpdateAugust 27, 2018

✔ NPI 1104068790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MD · D0051777

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4321 COLLINGTON RD, Bowie, MD 20716

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MONICA BOYDEN FRANCIS PA-C

Physician Assistant (Medical)

4321 COLLINGTON RD, SUITE 230
BOWIE, MD 20716

Prince George's County (301) 809-4321

DR. JAVOD KAZEMIZADEH GOL D.D.S.

Dentist