Provider Demographics
NPI:1578459764
Name:MARYLAND HOLISTIC AND SEDATION DENTISTRY LLC
Entity type:Organization
Organization Name:MARYLAND HOLISTIC AND SEDATION DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-321-0820
Mailing Address - Street 1:2918 SPENCERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1434
Mailing Address - Country:US
Mailing Address - Phone:301-421-1996
Mailing Address - Fax:
Practice Address - Street 1:2918 SPENCERVILLE RD
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1434
Practice Address - Country:US
Practice Address - Phone:301-421-1996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental