GAITHERSBURG DENTAL ASSOCIATES – NPI #1124423462
Clinic/Center

GAITHERSBURG DENTAL ASSOCIATES is an AHC clinic located in GAITHERSBURG, MD. NPPES has assigned the NPI number 1124423462 to GAITHERSBURG DENTAL ASSOCIATES on October 29, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is LOGMANNI DENTAL ASSOCIATES. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GAITHERSBURG DENTAL ASSOCIATES below.

NPI Profile for
GAITHERSBURG DENTAL ASSOCIATES

NPI Number
1124423462
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GAITHERSBURG DENTAL ASSOCIATES
Former Legal Business Name: LOGMANNI DENTAL ASSOCIATES
Primary location
8 RUSSELL AVE
SUITE 104
GAITHERSBURG, MD 20877-2966
Phone: (301) 869-2500 Fax: (301) 926-7655
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MANDANA LOGMANNI
OWNER/PRESIDENT
Phone: (301) 869-2500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 MD 13266

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.