PLOVER PEDIATRIC DENTISTRY
NPI 1811571318
Dentist - Pediatric Dentistry in Potomac, MD

Active since May 11, 2021
11325 SEVEN LOCKS RD STE 250, POTOMAC, MD 20854(406) 423-1612(240) 642-3161 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 30, 2021, May 11, 2021 (2 updates tracked since 2021).

About Plover Pediatric Dentistry NPPES

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

PLOVER PEDIATRIC DENTISTRY (NPI 1811571318) is a healthcare organization registered as a pediatric dentistry in Potomac, Maryland and active in the NPI registry since May 2021. The organization lists Hae Jin Kim, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1811571318
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMOCO PEDIATRIC DENTISTRY LLC
Location Address11325 SEVEN LOCKS RD STE 250Potomac, MD 20854-3269
Mailing Address11325 Seven Locks Rd Ste 250Potomac, MD 20854-3269 · (240) 642-3161 · Fax (240) 642-3162
Fax(240) 642-3161
Organization SubpartNo
Authorized OfficialHae Jin KimPediatric Dentist · (240) 642-3161
Enumeration DateMay 11, 2021
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
NPI 1811571318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
11325 SEVEN LOCKS RD STE 250, Potomac, MD 20854

Other Names 1

Doing Business AsPlover Pediatric Dentistry

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 (Pediatric Dentistry)
11325 SEVEN LOCKS RD STE 250
POTOMAC, MD 20854
Dentist (Pediatric Dentistry)
11325 SEVEN LOCKS RD STE 250
POTOMAC, MD 20854

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 Moco Pediatric Dentistry LLC's NPI number?

The NPI number for Moco Pediatric Dentistry LLC is 1811571318. It was assigned to this organization in the NPPES registry on May 11, 2021. The provider is doing business as Plover Pediatric Dentistry.

Where is Moco Pediatric Dentistry LLC located?

Moco Pediatric Dentistry LLC is located at 11325 Seven Locks Rd Ste 250, Potomac, MD 20854. The listed phone number is (406) 423-1612.

What is Moco Pediatric Dentistry 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 Moco Pediatric Dentistry LLC was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.