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ST. CHARLES FAMILY DENTAL
NPI 1619359213
Dentist - General Practice in Waldorf, MD

Active since June 19, 2015
173 SAINT PATRICKS DR, SUITE 204, WALDORF, MD 20603(301) 645-6500(301) 632-6492 Get Directions Write a Review

NPPES record last updated: June 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Charles Family Dental NPPES

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

ST. CHARLES FAMILY DENTAL (NPI 1619359213) is a healthcare organization registered as a general practice in Waldorf, Maryland and active in the NPI registry since June 2015. The organization lists Marilyn Coleman-bordes, Dentist, as its authorized official.

NPPES Registry Identity

NPI1619359213
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameST. CHARLES FAMILY DENTAL
Location Address173 SAINT PATRICKS DR, SUITE 204Waldorf, MD 20603-5529
Mailing Address173 Saint Patricks Dr, Suite 204Waldorf, MD 20603-5529 · (301) 645-6500 · Fax (301) 632-6492
Phone(301) 645-6500
Fax(301) 632-6492
Organization SubpartNo
Authorized OfficialMarilyn Coleman-bordesDentist · (301) 645-6500
Enumeration DateJune 19, 2015
✔ NPI 1619359213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
173 SAINT PATRICKS DR, Waldorf, MD 20603
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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 5

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

MID ATLANTIC SKIN SURGERY INSTITUTE
Dermatology
173 SAINT PATRICKS DR, SUITE 201
WALDORF, MD 20603
Charles County (301) 475-8091
MR. MICHAEL F BURGER LCPC
Counselor
173 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (240) 257-2151
SEMEONA MARQUEZ ACUZAR-BRILLANTES RDH
Dental Hygienist
173 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 645-6500
RAMSEY COUNSELING AND CONSULTING, LLC
Social Worker (Clinical)
173 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (443) 333-0221
ROSEMARY JOSEPH VERGHESE M.D
Internal Medicine
173 SAINT PATRICKS DR, SUITE 201
WALDORF, MD 20603
Charles County (301) 396-3401

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 St. Charles Family Dental's NPI number?

The NPI number for St. Charles Family Dental is 1619359213. It was assigned to this organization in the NPPES registry on June 19, 2015.

Where is St. Charles Family Dental located?

St. Charles Family Dental is located at 173 Saint Patricks Dr Suite 204, Waldorf, MD 20603. The listed phone number is (301) 645-6500.

What is St. Charles Family Dental'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 St. Charles Family Dental was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.