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MARLBOROUGH VILLAGE PEDIATRIC DENTAL
NPI 1710473731
Dentist - Pediatric Dentistry in Upper Marlboro, MD

Active since July 02, 2018
5098 BROWN STATION RD STE 260, UPPER MARLBORO, MD 20772(240) 326-3738 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Marlborough Village Pediatric Dental NPPES

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

MARLBOROUGH VILLAGE PEDIATRIC DENTAL (NPI 1710473731) is a healthcare organization registered as a pediatric dentistry in Upper Marlboro, Maryland and active in the NPI registry since July 2018. The organization lists Adrian Johnston Wilson, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1710473731
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMARLBOROUGH VILLAGE PEDIATRIC DENTAL
Location Address5098 BROWN STATION RD STE 260Upper Marlboro, MD 20772-9124
Mailing Address14300 Ridge View LnLaurel, MD 20707-6278 · (443) 280-0968
Phone(240) 326-3738
Organization SubpartNo
Authorized OfficialAdrian Johnston WilsonOwner/dentist · (443) 280-0968
Enumeration DateJuly 2, 2018
✔ NPI 1710473731 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 · 14704
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.
5098 BROWN STATION RD STE 260, Upper Marlboro, MD 20772
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Other Identifiers 1

Medicaid71150100MD

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Marlborough Village Pediatric Dental's NPI number?

The NPI number for Marlborough Village Pediatric Dental is 1710473731. It was assigned to this organization in the NPPES registry on July 2, 2018.

Where is Marlborough Village Pediatric Dental located?

Marlborough Village Pediatric Dental is located at 5098 Brown Station Rd Ste 260, Upper Marlboro, MD 20772. The listed phone number is (240) 326-3738.

What is Marlborough Village Pediatric Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Marlborough Village Pediatric Dental accept?

Health plans from UnitedHealthcare list Marlborough Village Pediatric Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marlborough Village Pediatric Dental was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.