Dr. Jack Light , DDS
Dentist • Brandywine, MD
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Light has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jack Light, DDS was a registered Dentist practicing in Brandywine, MD. Throughout an active medical career spanning 14 years, Dr. Light provided care at the practice location at 13605 BADEN WESTWOOD ROAD until profile deactivation on 2020-05-13.
Practice Location & Contact Primary Location
13605 Baden Westwood Road
Brandywine, MD 20613
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Brandywine, MD
Practicing in Brandywine, MD (1975 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dental Hygienist
Registered Dental Hygienist
Pediatrics
Doctor of Medicine (M.D.)
Dentist
Doctor of Dental Surgery
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
MSNFNPC
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 13, 2020
NPI status registered as active in NPPES database
Registered at 13605 BADEN WESTWOOD ROAD, BRANDYWINE, MD 20613 (Tel: 3018882233)
Registered at 9440 PENNSYLVANIA AVENUE, #160, UPPER MARLBORO, MD 207723687 (Tel: 3015990460)
Recorded as JACK LIGHT, DDS
Dentist (License #6123 in MD)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
9440 Pennsylvania Avenue, #160
Upper Marlboro, MD 207723687
Phone: 3015990460
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.