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SHADY GROVE MODERN DENTAL PC
NPI 1508802414
Dentist in Gaithersburg, MD

Active since June 20, 2006
9051 SHADY GROVE COURT, GAITHERSBURG, MD 20877(301) 330-4613(301) 330-4619 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shady Grove Modern Dental Pc NPPES

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

SHADY GROVE MODERN DENTAL PC (NPI 1508802414) is a healthcare organization registered as a dentist in Gaithersburg, Maryland and active in the NPI registry since June 2006. The organization lists Duy Tam Tran Kiem, President, as its authorized official.

NPPES Registry Identity

NPI1508802414
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSHADY GROVE MODERN DENTAL PC
Location Address9051 SHADY GROVE COURTGaithersburg, MD 20877
Mailing Address9051 Shady Grove CourtGaithersburg, MD 20877 · (301) 330-4613 · Fax (301) 330-4619
Phone(301) 330-4613
Fax(301) 330-4619
Organization SubpartNo
Authorized OfficialDuy Tam Tran KiemPresident · (301) 330-4613
Enumeration DateJune 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508802414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MD · 11662
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9051 SHADY GROVE COURT, Gaithersburg, MD 20877
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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 Shady Grove Modern Dental PC's NPI number?

The NPI number for Shady Grove Modern Dental PC is 1508802414. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Shady Grove Modern Dental PC located?

Shady Grove Modern Dental PC is located at 9051 Shady Grove Court, Gaithersburg, MD 20877. The listed phone number is (301) 330-4613.

What is Shady Grove Modern Dental PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Shady Grove Modern Dental PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.