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BANA BALL DMD LLC
NPI 1548804867
Dentist - Pediatric Dentistry in Rockville, MD

Active since October 30, 2019
15245 SHADY GROVE RD STE 260, ROCKVILLE, MD 20850(240) 848-7074(240) 848-7075 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bana Ball Dmd Llc NPPES

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

BANA BALL DMD LLC (NPI 1548804867), doing business as Shady Grove Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Rockville, Maryland and active in the NPI registry since October 2019. The organization lists Banafsheh M Ball, Pediatric Dentist; Owner, as its authorized official.

NPPES Registry Identity

NPI1548804867
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBANA BALL DMD LLC
Location Address15245 SHADY GROVE RD STE 260Rockville, MD 20850-3222
Mailing Address15609 Wapello WayRockville, MD 20855-2642 · (423) 737-8208
Phone(240) 848-7074
Fax(240) 848-7075
Organization SubpartNo
Authorized OfficialBanafsheh M BallPediatric Dentist; Owner · (240) 848-7074
Enumeration DateOctober 30, 2019
✔ NPI 1548804867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
15245 SHADY GROVE RD STE 260, Rockville, MD 20850
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Other Names 1

Doing Business AsShady Grove Pediatric Dentistry

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BANAFSHEH M BALL D.M.D.
Dentist (Pediatric Dentistry)
15245 SHADY GROVE RD STE 260
ROCKVILLE, MD 20850
Montgomery County (240) 848-7074

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 Bana Ball Dmd LLC's NPI number?

The NPI number for Bana Ball Dmd LLC is 1548804867. It was assigned to this organization in the NPPES registry on October 30, 2019. The provider is doing business as Shady Grove Pediatric Dentistry.

Where is Bana Ball Dmd LLC located?

Bana Ball Dmd LLC is located at 15245 Shady Grove Rd Ste 260, Rockville, MD 20850. The listed phone number is (240) 848-7074.

What is Bana Ball Dmd 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 Bana Ball Dmd LLC was last updated on October 30, 2019. 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.