PEDIATRIC DENTAL CARE, LLC
NPI 1639554876
Dentist - Pediatric Dentistry in Frederick, MD

Active since July 29, 2015
1011 E PATRICK ST, FREDERICK, MD 21701(301) 360-9692(301) 668-9692 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dental Care, Llc NPPES

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

PEDIATRIC DENTAL CARE, LLC (NPI 1639554876) is a healthcare organization registered as a pediatric dentistry in Frederick, Maryland and active in the NPI registry since July 2015. The organization lists Fariba Paryavi, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1639554876
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL CARE, LLC
Location Address1011 E PATRICK STFrederick, MD 21701-3119
Mailing Address1011 E Patrick StFrederick, MD 21701-3119 · (301) 360-9692 · Fax (301) 668-9692
Fax(301) 668-9692
Organization SubpartNo
Authorized OfficialFariba ParyaviPediatric Dentist · (301) 360-9692
Enumeration DateJuly 29, 2015
NPI 1639554876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in MD · 11552
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.
1011 E PATRICK ST, Frederick, MD 21701

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 2

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

Dentist (General Practice)
1011 E PATRICK ST
FREDERICK, MD 21701
Counselor (Professional)
1011 E PATRICK ST
FREDERICK, MD 21701

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 Pediatric Dental Care, LLC's NPI number?

The NPI number for Pediatric Dental Care, LLC is 1639554876. It was assigned to this organization in the NPPES registry on July 29, 2015.

Where is Pediatric Dental Care, LLC located?

Pediatric Dental Care, LLC is located at 1011 E Patrick St, Frederick, MD 21701. The listed phone number is (301) 360-9692.

What is Pediatric Dental Care, 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 Pediatric Dental Care, LLC was last updated on July 29, 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.