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SHADY GROVE CHILDREN'S GAD, LLC
NPI 1104516194
Dentist in Rockville, MD

Active since May 11, 2023
15001 SHADY GROVE RD STE 110, ROCKVILLE, MD 20850(301) 494-3000 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2026, Apr 5, 2024, May 11, 2023 (3 updates tracked since 2023).

About Shady Grove Children's Gad, Llc NPPES

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

SHADY GROVE CHILDREN'S GAD, LLC (NPI 1104516194) is a healthcare organization registered as a dentist in Rockville, Maryland and active in the NPI registry since May 2023. The organization lists Jeffrey Wheeler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104516194
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSHADY GROVE CHILDREN'S GAD, LLC
Location Address15001 SHADY GROVE RD STE 110Rockville, MD 20850-6354
Mailing Address1220 Caraway Ct Ste 1050Upper Marlboro, MD 20774-5338 · (301) 494-3000
Phone(301) 494-3000
Organization SubpartNo
Authorized OfficialJeffrey WheelerCeo · (301) 494-3000
Enumeration DateMay 11, 2023
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1104516194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Dentist AnesthesiologistTaxonomy 1223D0004X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
15001 SHADY GROVE RD STE 110, Rockville, MD 20850
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shady Grove Children's Gad, LLC's NPI number?

The NPI number for Shady Grove Children's Gad, LLC is 1104516194. It was assigned to this organization in the NPPES registry on May 11, 2023.

Where is Shady Grove Children's Gad, LLC located?

Shady Grove Children's Gad, LLC is located at 15001 Shady Grove Rd Ste 110, Rockville, MD 20850. The listed phone number is (301) 494-3000.

What is Shady Grove Children's Gad, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Shady Grove Children's Gad, LLC was last updated on January 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.