PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT- DENTAL
NPI 1114155694
Dentist - Dental Public Health in Cheverly, MD
NPI Status: Active since June 23, 2009
Contact Information
3003 HOSPITAL DR STE 1048
CHEVERLY, MD
ZIP 20785
Phone: (301) 583-5900
Fax: (301) 883-7890
- Organization
- Dentist
- Dental Public Health
- Accepts Insurance
- CLIA Number: 21D1085624
- CLIA Cert. Type: Public Health Laboratories
- CLIA Exp. Date: 10-29-2027
About PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT- DENTAL
This page provides the complete NPI Profile along with additional information for Prince George's County Health Department- Dental, a provider established in Cheverly, Maryland operating as a Dentist, focusing in dental public health . The healthcare provider is registered in the NPI registry with number 1114155694 assigned on June 2009. The practitioner's primary taxonomy code is 1223D0001X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Prince George's County Health Department- Dental operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Prince George's County Health Department- Dental. The authorized official of this NPI record is Ms. Tamala Butler (Credentialing Specialist)
- NPI
- 1114155694
- Provider Legal Name
- PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
- Other Organization Name
- PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT- DENTAL
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3003 HOSPITAL DR STE 1048 CHEVERLY, MD 20785
- Location Phone
- (301) 583-5900
- Location Fax
- (301) 883-7890
- Mailing Address
- 1701 MCCORMICK DR LARGO, MD 20774
- Mailing Phone
- (301) 583-5900
- Mailing Fax
- (301) 883-7890
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-23-2009
- Last Update Date
- 09-17-2020
- Code Navigator
A dentist like Prince George's County Health Department- Dental 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 Dental Public Health
- Taxonomy Code
- 1223D0001X
- Type
- Dental Providers
- Taxonomy Description
- The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 417155100 | MEDICAID (05) | MD |
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
- 21D1085624
- Facility Type
- Public Health Laboratories
- Certificate Effective Date
- October 30, 2025
- Certificate Expiration Date
- October 29, 2027
- Laboratory Director
- DR. TRAMAINE A. DAVIS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Prince George's County Health Department- Dental in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1114155694, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114155694, enumerated as an "organization" on June 23, 2009.
The provider is located at 3003 HOSPITAL DR STE 1048 CHEVERLY, MD 20785 and the phone number is (301) 583-5900.
Dentist with taxonomy code 1223D0001X and a focus in Dental Public Health.
The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
