PRESTIGE PERIODONTICS ROCKVILLE LLC
NPI 1184377350
Dentist - Periodontics in Rockville, MD

Active since January 28, 2022
1801 ROCKVILLE PIKE STE 101, ROCKVILLE, MD 20852(301) 681-4812 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prestige Periodontics Rockville Llc NPPES

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

PRESTIGE PERIODONTICS ROCKVILLE LLC (NPI 1184377350) is a healthcare organization registered as a periodontics in Rockville, Maryland and active in the NPI registry since January 2022. The organization lists Duane Bennett, Member, as its authorized official.

NPPES Registry Identity

NPI1184377350
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePRESTIGE PERIODONTICS ROCKVILLE LLC
Location Address1801 ROCKVILLE PIKE STE 101Rockville, MD 20852-1633
Mailing Address1801 Rockville Pike Ste 101Rockville, MD 20852-1633 · (301) 681-4812
Organization SubpartYesParent: Prestige Periodontics Llc
Authorized OfficialDuane BennettMember · (301) 681-4812
Enumeration DateJanuary 28, 2022
NPPES CertifiedJanuary 28, 2022
NPI 1184377350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1801 ROCKVILLE PIKE STE 101, Rockville, MD 20852

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

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 Prestige Periodontics Rockville LLC's NPI number?

The NPI number for Prestige Periodontics Rockville LLC is 1184377350. It was assigned to this organization in the NPPES registry on January 28, 2022.

Where is Prestige Periodontics Rockville LLC located?

Prestige Periodontics Rockville LLC is located at 1801 Rockville Pike Ste 101, Rockville, MD 20852. The listed phone number is (301) 681-4812.

What is Prestige Periodontics Rockville LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Prestige Periodontics Rockville LLC was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.