Organization · Type 2 NPI

Montgomery County Maryland Government

Dental Clinic/Center · Rockville, MD

NPI number 1235734708 Active

Practice location

1401 Rockville Pike Fl 3
Rockville, MD 20852-1428

Call (240) 777-1875 Map

Mailing address

401 Hungerford Dr Fl 6
Rockville, MD 20850-4154

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed
State or Local Public Health Clinic/Center	261QP0905X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Latesha Monique McLee, RDHDental Hygienist Rockville, MD NPI 1275042194

Other dental clinic/center providers in Rockville

See all in Rockville →

NPI record

NPI: 1235734708
Entity type: Organization (Type 2)
Issued: Dec 2, 2020
Last updated: Sep 9, 2025
Status: Active
Subpart: Yes of Montgomery County Maryland Government

Other names

<unavail>
Dental Rockville Clinic · doing business as
Dental Rockville Clinic · doing business as

Authorized official

Diana Azucena Cortez
Management
(240) 672-6758

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235734708

Montgomery County Maryland Government's National Provider Identifier is 1235734708, issued on Dec 2, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rockville, MD. The record was last updated on Sep 9, 2025.