MONTGOMERY COUNTY MARYLAND GOVERNMENT – NPI #1255192936
Clinic/Center

MONTGOMERY COUNTY MARYLAND GOVERNMENT is an AHC clinic located in ROCKVILLE, MD. NPPES has assigned the NPI number 1255192936 to MONTGOMERY COUNTY MARYLAND GOVERNMENT on January 19, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

The NPI profile was previously updated about 2 years ago on May 10, 2024. 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 MONTGOMERY COUNTY MARYLAND GOVERNMENT below.

NPI Profile for
MONTGOMERY COUNTY MARYLAND GOVERNMENT

NPI Number
1255192936
Enumeration Date

(more than 2 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
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Primary location
BROOKHAVEN ES DENTAL CLINIC 4610 RENN ST
ROCKVILLE, MD 20853
Phone: (240) 740-0500 Fax: (301) 460-2460
Mailing address
401 HUNGERFORD DR FL 6
ROCKVILLE, MD 20850-4154
Phone: (240) 777-4520 Fax:
Organization Subpart
No
Authorized Official
JAMEELAH JOHNSON
MANAGER
Phone: (240) 733-1121
Updated
Certification Date
May 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.