Organization · Type 2 NPI

Shady Grove Children's Gad, LLC

Dentist · Rockville, MD

NPI number 1104516194 Active

Practice location

15001 Shady Grove Rd Ste 110
Rockville, MD 20850-6354

Mailing address

1220 Caraway Ct Ste 1050
Upper Marlboro, MD 20774-5338

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed
Dental Anesthesiology 1223D0004XNone listed
General Practice Dentistry 1223G0001XNone listed
Pediatric Dentistry 1223P0221XNone listed

Dentist: 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 requiremen…

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About NPI 1104516194

Shady Grove Children's Gad, LLC's National Provider Identifier is 1104516194, issued on May 11, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Rockville, MD. The record was last updated on Jan 13, 2026.