FREDERICK PEDIATRIC DENTISTRY, LLC
NPI 1255631370
Dentist - Pediatric Dentistry in Frederick, MD

Q: What is Frederick Pediatric Dentistry, LLC's NPI number?

The NPI number for Frederick Pediatric Dentistry, LLC is 1255631370. It was assigned to this organization in the NPPES registry on October 22, 2010.

Q: What is Frederick Pediatric Dentistry, LLC's specialty?

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

Active since October 22, 2010

77 THOMAS JOHNSON DR., STE. A, FREDERICK, MD 21702(301) 682-3887(301) 682-7984 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Frederick Pediatric Dentistry, Llc NPPES

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

FREDERICK PEDIATRIC DENTISTRY, LLC (NPI 1255631370) is a healthcare organization registered as a pediatric dentistry in Frederick, Maryland and active in the NPI registry since October 2010. The organization lists Kendall Lee Prichard, Dental Receptionist, as its authorized official.

NPPES Registry Identity

NPI1255631370

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameFREDERICK PEDIATRIC DENTISTRY, LLC

Location Address77 THOMAS JOHNSON DR., STE. AFrederick, MD 21702

Mailing Address77 Thomas Johnson Dr., Ste. AFrederick, MD 21702 · (301) 682-3887 · Fax (301) 682-7984

Phone(301) 682-3887

Fax(301) 682-7984

Organization SubpartNo

Authorized OfficialKendall Lee PrichardDental Receptionist · (301) 682-3887

Enumeration DateOctober 22, 2010

✔ NPI 1255631370 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 · 9898

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.

77 THOMAS JOHNSON DR., Frederick, MD 21702

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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

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 Frederick Pediatric Dentistry, LLC's NPI number?

The NPI number for Frederick Pediatric Dentistry, LLC is 1255631370. It was assigned to this organization in the NPPES registry on October 22, 2010.

Where is Frederick Pediatric Dentistry, LLC located?

Frederick Pediatric Dentistry, LLC is located at 77 Thomas Johnson Dr. Ste. A, Frederick, MD 21702. The listed phone number is (301) 682-3887.

What is Frederick Pediatric Dentistry, 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 Frederick Pediatric Dentistry, LLC was last updated on October 22, 2010. 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.