| NPI | 1104068790 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2009-03-30 |
| Last Updated | 2018-08-27 |
| Authorized Official | Debra Coats-Walton Medical Director Phone: 3018094321 |
| Mailing Address | 4321 Collington Rd, Suite 230 Bowie, MD 20716-2259 United States Phone: (301) 809-4321 | Fax: (301) 809-5798 📍 View Map |
| Primary Practice Address | 4321 Collington Rd, Suite 230 Bowie, MD 20716 United States Phone: (301) 809-4321 | Fax: (301) 809-5798 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 174400000X – Specialist | MD | D0051777 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1104068790
Aesthetic Dermatology And Dermatologic Surgery Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1104068790. The primary specialty listed is Specialist. The organization is located in Bowie, MD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-03-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104068790?
NPI 1104068790 belongs to Aesthetic Dermatology And Dermatologic Surgery Center, a Specialist in Bowie, MD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104068790 active?
The current status of NPI 1104068790 in the NPPES registry is Active. The record was last updated on 2018-08-27.
What specialty is NPI 1104068790?
NPI 1104068790 is classified under the taxonomy Specialist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104068790?
You can verify NPI 1104068790 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104068790?
The primary practice address on file for NPI 1104068790 is 4321 Collington Rd, Bowie, MD 20716. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104068790 issued?
NPI 1104068790 was first issued (enumerated) on 2009-03-30. The NPPES record was last updated on 2018-08-27.
Practice Location Map
Aesthetic Dermatology And Dermatologic Surgery Center is located at 4321 Collington Rd, Bowie, MD. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Aesthetic Dermatology And Dermatologic Surgery Center. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104068790. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Specialist | D0051777 | MD |