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AGE ONE PEDIATRIC DENTISTRY
NPI 1710438601
Dentist - Pediatric Dentistry in Silver Spring, MD

Active since October 17, 2016
8611 2ND AVE, SUITE 201, SILVER SPRING, MD 20910(989) 714-4470 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Age One Pediatric Dentistry NPPES

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

AGE ONE PEDIATRIC DENTISTRY (NPI 1710438601) is a healthcare organization registered as a pediatric dentistry in Silver Spring, Maryland and active in the NPI registry since October 2016. The organization lists Claudia Williams-conerly, Owner, as its authorized official.

NPPES Registry Identity

NPI1710438601
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameAGE ONE PEDIATRIC DENTISTRY
Location Address8611 2ND AVE, SUITE 201Silver Spring, MD 20910-3372
Mailing Address14012 Wagon WaySilver Spring, MD 20906 · (989) 714-4470
Phone(989) 714-4470
Organization SubpartNo
Authorized OfficialClaudia Williams-conerlyOwner · (989) 714-4470
Enumeration DateOctober 17, 2016
✔ NPI 1710438601 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 · 14126
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.
8611 2ND AVE, Silver Spring, MD 20910
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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 3

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

SIDNEY SHANKMAN, MD PA
Specialist
8611 2ND AVE, 301
SILVER SPRING, MD 20910
Montgomery County (301) 585-5365
SECOND GENESIS, INC.
Substance Abuse Rehabilitation Facility
8611 2ND AVE, SUITE 300
SILVER SPRING, MD 20910
Montgomery County (301) 563-1545
DR. MARCUS STEPHEN TAPPAN
Dentist
8611 2ND AVE, SUITE #101
SILVER SPRING, MD 20910
Montgomery County (301) 565-8212

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 Age One Pediatric Dentistry's NPI number?

The NPI number for Age One Pediatric Dentistry is 1710438601. It was assigned to this organization in the NPPES registry on October 17, 2016.

Where is Age One Pediatric Dentistry located?

Age One Pediatric Dentistry is located at 8611 2nd Ave Suite 201, Silver Spring, MD 20910. The listed phone number is (989) 714-4470.

What is Age One Pediatric Dentistry'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 Age One Pediatric Dentistry was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.