Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARYLAND ORAL DIAGNOSIS AND THERAPEUTICS, LLC
NPI 1760654784
Dentist in Gaithersburg, MD

Active since March 31, 2008CLIA 21D0941021 · Certificate of Compliance
610 PROFESSIONAL DR STE 215, GAITHERSBURG, MD 20879(301) 869-8666(301) 869-8677 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Maryland Oral Diagnosis And Therapeutics, Llc NPPES

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

MARYLAND ORAL DIAGNOSIS AND THERAPEUTICS, LLC (NPI 1760654784) is a healthcare organization registered as a dentist in Gaithersburg, Maryland and active in the NPI registry since March 2008. The organization holds a CLIA Certificate of Compliance certificate valid through September 15, 2027 and lists Di Sun, Director, as its authorized official.

NPPES Registry Identity

NPI1760654784
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMARYLAND ORAL DIAGNOSIS AND THERAPEUTICS, LLC
Location Address610 PROFESSIONAL DR STE 215Gaithersburg, MD 20879-3439
Mailing Address610 Professional Dr Ste 215Gaithersburg, MD 20879-3439 · (301) 838-9033 · Fax (301) 838-9148
Fax(301) 869-8677
Organization SubpartNo
Authorized OfficialDi SunDirector · (301) 869-8666
Enumeration DateMarch 31, 2008
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1760654784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MD · 11508
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License 11508 (MD)
610 PROFESSIONAL DR STE 215, Gaithersburg, MD 20879

Other Names 2

Other NameOral Pathology Services
Doing Business AsMaryland Oral Diagnosis And Therapeutics, Llc

Other Identifiers 1

Medicaid5486025MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 21D0941021

Oral Pathology Services · Gaithersburg, MD
Active · expires Sep 15, 2027
CLIA Number21D0941021
Laboratory TypeIndependent
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorDi Sun Dds
Laboratory Phone(301) 869-8666
Laboratory LocationOral Pathology Services610 Professional Drive Suite 215, Gaithersburg, MD 20879
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
610 PROFESSIONAL DR STE 215
GAITHERSBURG, MD 20879

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 Maryland Oral Diagnosis And Therapeutics, LLC's NPI number?

The NPI number for Maryland Oral Diagnosis And Therapeutics, LLC is 1760654784. It was assigned to this organization in the NPPES registry on March 31, 2008. The provider is also known as Oral Pathology Services.

Where is Maryland Oral Diagnosis And Therapeutics, LLC located?

Maryland Oral Diagnosis And Therapeutics, LLC is located at 610 Professional Dr Ste 215, Gaithersburg, MD 20879. The listed phone number is (301) 869-8666.

What is Maryland Oral Diagnosis And Therapeutics, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Maryland Oral Diagnosis And Therapeutics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D0941021) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maryland Oral Diagnosis And Therapeutics, LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.