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RUSSELL PARK DENTAL CARE, LLC
NPI 1407474380
Clinic/Center - Dental in Gaithersburg, MD

Active since July 08, 2020
963 RUSSELL AVE STE A, GAITHERSBURG, MD 20879(301) 284-8467 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Russell Park Dental Care, Llc NPPES

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

RUSSELL PARK DENTAL CARE, LLC (NPI 1407474380) is a healthcare organization registered as a dental in Gaithersburg, Maryland and active in the NPI registry since July 2020. The organization lists Vigen Simchian, Member, as its authorized official.

NPPES Registry Identity

NPI1407474380
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRUSSELL PARK DENTAL CARE, LLC
Location Address963 RUSSELL AVE STE AGaithersburg, MD 20879-3287
Mailing Address963 Russell Ave Ste AGaithersburg, MD 20879-3287 · (301) 284-8467
Phone(301) 284-8467
Organization SubpartNo
Authorized OfficialVigen SimchianMember · (301) 284-8467
Enumeration DateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1407474380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
963 RUSSELL AVE STE A, Gaithersburg, MD 20879
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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 Russell Park Dental Care, LLC's NPI number?

The NPI number for Russell Park Dental Care, LLC is 1407474380. It was assigned to this organization in the NPPES registry on July 8, 2020.

Where is Russell Park Dental Care, LLC located?

Russell Park Dental Care, LLC is located at 963 Russell Ave Ste A, Gaithersburg, MD 20879. The listed phone number is (301) 284-8467.

What is Russell Park Dental Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Russell Park Dental Care, LLC was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.