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Deactivated NPI 1619961596 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald Dale Holderman , DDS

Dentist • Gaithersburg, MD

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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. Ronald Holderman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2005
NPI Deactivation Date April 10, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Holderman, DDS was a registered Dentist practicing in Gaithersburg, MD. Throughout an active medical career spanning 20 years, Dr. Holderman provided care at the practice location at 832 QUINCE ORCHARD BLVD until profile deactivation on 2025-04-10.

Practice Location & Contact Primary Location

Practice Address

832 Quince Orchard Blvd

Gaithersburg, MD 20878

Telephone 3019480058
Fax 3019773184
Associated Practice Facility / Clinic
🏢 Lev Tomashevsky Dds, Llc Facility NPI 1710121645

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Gaithersburg, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
61 Specialists

Practicing in Gaithersburg, MD (1975 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MD 8899

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

3 Associated Practitioners
NPI 1205012648

Doctor of Dental Surgery

NPI 1699869545

Doctor of Dental Surgery

NPI 1750762803

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated April 10, 2025

Record deactivated on April 10, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2025

Dentist (License #8899 in MD)

NPI Profile Active April 23, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 23, 2009

Registered at 832 QUINCE ORCHARD BLVD, GAITHERSBURG, MD 20878 (Tel: 3019480058)

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Updated Business Mailing Address April 23, 2009

Registered at 832 QUINCE ORCHARD BLVD, GAITHERSBURG, MD 20878 (Tel: 3019480058)

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Provider Name / Credentials Updated April 23, 2009

Recorded as RONALD HOLDERMAN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2009

Dentist (License #8899 in MD)

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Initial NPI Registration & Enumeration September 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619961596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2005
Last Update: April 23, 2009
Deactivation Date: April 10, 2025

Mailing Address

832 Quince Orchard Blvd

Gaithersburg, MD 20878

Phone: 3019480058

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.