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PEDIATRIC DENTAL CENTER OF FREDERICK, LLC
NPI 1114094398
Dentist - Pediatric Dentistry in Frederick, MD

Active since November 30, 2006
7360 GUILFORD DR, 102, FREDERICK, MD 21704(301) 668-2662 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dental Center Of Frederick, Llc NPPES

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

PEDIATRIC DENTAL CENTER OF FREDERICK, LLC (NPI 1114094398) is a healthcare organization registered as a pediatric dentistry in Frederick, Maryland and active in the NPI registry since November 2006. The organization lists Robert W Mansman, Owner, as its authorized official.

NPPES Registry Identity

NPI1114094398
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL CENTER OF FREDERICK, LLC
Location Address7360 GUILFORD DR, 102Frederick, MD 21704-5124
Mailing Address7360 Guilford Dr, Suite 102Frederick, MD 21704-5124 · (301) 668-2662
Phone(301) 668-2662
Organization SubpartNo
Authorized OfficialRobert W MansmanOwner · (301) 668-2662
Enumeration DateNovember 30, 2006
Last NPPES UpdateJanuary 5, 2011
✔ NPI 1114094398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MD · 14165
Definition
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.
7360 GUILFORD DR, Frederick, MD 21704
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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 4

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

DR. JIM MING-AN LEE MPH, DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
7360 GUILFORD DR, STE #102
FREDERICK, MD 21704
Frederick County (301) 668-2662
DR. MAHSA ZIASHAKERI
Dentist (Orthodontics and Dentofacial Orthopedics)
7360 GUILFORD DR
FREDERICK, MD 21704
Frederick County (240) 408-7872
SMILE FREDERICK LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
7360 GUILFORD DR
FREDERICK, MD 21704
Frederick County (301) 668-2662
ROBERT G. RAY, DMD PC
Dentist (Orthodontics and Dentofacial Orthopedics)
7360 GUILFORD DR, #102
FREDERICK, MD 21704
Frederick County (301) 228-3773

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 Pediatric Dental Center Of Frederick, LLC's NPI number?

The NPI number for Pediatric Dental Center Of Frederick, LLC is 1114094398. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Pediatric Dental Center Of Frederick, LLC located?

Pediatric Dental Center Of Frederick, LLC is located at 7360 Guilford Dr 102, Frederick, MD 21704. The listed phone number is (301) 668-2662.

What is Pediatric Dental Center Of Frederick, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Center Of Frederick, LLC was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.