Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AVALON DENTAL CENTER, INC
NPI 1407629173
Clinic/Center - Dental in Upper Marlboro, MD

Q: What is Avalon Dental Center, Inc's NPI number?

The NPI number for Avalon Dental Center, Inc is 1407629173. It was assigned to this organization in the NPPES registry on November 3, 2023.

Q: What is Avalon Dental Center, Inc's specialty?

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

Active since November 03, 2023

81 KETTERING DR, UPPER MARLBORO, MD 20774(301) 599-0404(240) 563-1455 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Nov 3, 2023 (2 updates tracked since 2023).

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About Avalon Dental Center, Inc NPPES

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

AVALON DENTAL CENTER, INC (NPI 1407629173) is a healthcare organization registered as a dental in Upper Marlboro, Maryland and active in the NPI registry since November 2023. The organization lists Mofolusara O Ogunfusika, Dentist, as its authorized official.

NPPES Registry Identity

NPI1407629173

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameAVALON DENTAL CENTER, INC

Location Address81 KETTERING DRUpper Marlboro, MD 20774-1676

Mailing Address81 Kettering DrUpper Marlboro, MD 20774-1676 · (301) 599-0404 · Fax (240) 563-1455

Phone(301) 599-0404

Fax(240) 563-1455

Organization SubpartNo

Authorized OfficialMofolusara O OgunfusikaDentist · (301) 599-0404

Enumeration DateNovember 3, 2023

Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1407629173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

81 KETTERING DR, Upper Marlboro, MD 20774

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Other Names 1

Doing Business AsAvalon Dental Center, Inc

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 Avalon Dental Center, Inc's NPI number?

The NPI number for Avalon Dental Center, Inc is 1407629173. It was assigned to this organization in the NPPES registry on November 3, 2023.

Where is Avalon Dental Center, Inc located?

Avalon Dental Center, Inc is located at 81 Kettering Dr, Upper Marlboro, MD 20774. The listed phone number is (301) 599-0404.

What is Avalon Dental Center, Inc'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 Avalon Dental Center, Inc was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.