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OPAL RIDGEDENTAL LLC
NPI 1326442286
Dentist - General Practice in Frederick, MD

Active since October 21, 2014
1700 KINGFISHER DR, SUITE 11, FREDERICK, MD 21701(301) 788-8224 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Opal Ridgedental Llc NPPES

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

OPAL RIDGEDENTAL LLC (NPI 1326442286) is a healthcare organization registered as a general practice in Frederick, Maryland and active in the NPI registry since October 2014. The organization lists Renju Alex Thackenkary, Owner, as its authorized official.

NPPES Registry Identity

NPI1326442286
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOPAL RIDGEDENTAL LLC
Location Address1700 KINGFISHER DR, SUITE 11Frederick, MD 21701-4775
Mailing Address1700 Kingfisher Dr, Suite 11Frederick, MD 21701 · (301) 788-8224
Phone(301) 788-8224
Organization SubpartNo
Authorized OfficialRenju Alex ThackenkaryOwner · (301) 788-8224
Enumeration DateOctober 21, 2014
✔ NPI 1326442286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 15434
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1700 KINGFISHER DR, Frederick, MD 21701
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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. STEPHANIE DENISE COX R.PH
Pharmacist
1700 KINGFISHER DR
FREDERICK, MD 21701
Frederick County (301) 815-2201
MARCUS MOG
Pharmacist
1700 KINGFISHER DR
FREDERICK, MD 21701
Frederick County (301) 815-2201
BRANDON ADAWI H.A.D.
Hearing Instrument Specialist
1700 KINGFISHER DR, STE. 27
FREDERICK, MD 21701
Frederick County (301) 846-0222
GIANT OF MARYLAND LLC
Pharmacy (Community/Retail Pharmacy)
1700 KINGFISHER DR
FREDERICK, MD 21701
Frederick County (301) 815-2201

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 Opal Ridgedental LLC's NPI number?

The NPI number for Opal Ridgedental LLC is 1326442286. It was assigned to this organization in the NPPES registry on October 21, 2014.

Where is Opal Ridgedental LLC located?

Opal Ridgedental LLC is located at 1700 Kingfisher Dr Suite 11, Frederick, MD 21701. The listed phone number is (301) 788-8224.

What is Opal Ridgedental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Opal Ridgedental LLC was last updated on October 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.