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PEDIATRIC DENTISTRY
NPI 1124892344
Dentist - Pediatric Dentistry in Leonardtown, MD

Active since November 08, 2023
23140 MOAKLEY ST STE 3, LEONARDTOWN, MD 20650(301) 997-1800(301) 997-0402 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dentistry NPPES

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

PEDIATRIC DENTISTRY (NPI 1124892344) is a healthcare organization registered as a pediatric dentistry in Leonardtown, Maryland and active in the NPI registry since November 2023. The organization lists Jose Juambeltz, Owner, as its authorized official.

NPPES Registry Identity

NPI1124892344
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY
Location Address23140 MOAKLEY ST STE 3Leonardtown, MD 20650-2923
Mailing Address23140 Moakley St Ste 3Leonardtown, MD 20650-2923 · (301) 997-1800 · Fax (301) 997-0402
Phone(301) 997-1800
Fax(301) 997-0402
Organization SubpartNo
Authorized OfficialJose JuambeltzOwner · (410) 257-7676
Enumeration DateNovember 8, 2023
NPPES CertifiedNovember 8, 2023
✔ NPI 1124892344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
23140 MOAKLEY ST STE 3, Leonardtown, MD 20650
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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

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

SEQUENCE ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
23140 MOAKLEY ST STE 3
LEONARDTOWN, MD 20650
St. Mary's County (301) 997-0666

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 Dentistry's NPI number?

The NPI number for Pediatric Dentistry is 1124892344. It was assigned to this organization in the NPPES registry on November 8, 2023.

Where is Pediatric Dentistry located?

Pediatric Dentistry is located at 23140 Moakley St Ste 3, Leonardtown, MD 20650. The listed phone number is (301) 997-1800.

What is Pediatric Dentistry'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 Dentistry was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.