PEDIATRIC DENTAL CENTER OF FREDERICK, LLC
NPI 1114094398
Dentist - Pediatric Dentistry in Frederick, MD
NPI Status: Active since November 30, 2006
Contact Information
7360 GUILFORD DR
102
FREDERICK, MD
ZIP 21704
Phone: (301) 668-2662
- Organization
- Dentist
- Pediatric Dentistry
- CLIA Number: 21D1107079
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-31-2027
About PEDIATRIC DENTAL CENTER OF FREDERICK, LLC
This page provides the complete NPI Profile along with additional information for Pediatric Dental Center Of Frederick, Llc, a provider established in Frederick, Maryland operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1114094398 assigned on November 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 14165 (MD). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Robert W Mansman Ii Dds (Owner)
- NPI
- 1114094398
- Provider Name
- PEDIATRIC DENTAL CENTER OF FREDERICK, LLC
- Entity Type
- Organization
- Location Address
- 7360 GUILFORD DR 102 FREDERICK, MD 21704
- Location Phone
- (301) 668-2662
- Mailing Address
- 7360 GUILFORD DR SUITE 102 FREDERICK, MD 21704
- Mailing Phone
- (301) 668-2662
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-30-2006
- Last Update Date
- 01-05-2011
- Code Navigator
A dentist like Pediatric Dental Center Of Frederick, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 14165
- License State
- MD
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D1107079
- Facility Type
- Physician Office
- Certificate Effective Date
- January 01, 2026
- Certificate Expiration Date
- December 31, 2027
- Laboratory Director
- SUSAN J. CHAITOVITZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Dental Center Of Frederick, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114094398, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FREDERICK, MD 21704
FREDERICK, MD 21704
FREDERICK, MD 21704
FREDERICK, MD 21704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114094398, enumerated as an "organization" on November 30, 2006.
The provider is located at 7360 GUILFORD DR 102 FREDERICK, MD 21704 and the phone number is (301) 668-2662.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
