Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306539655 Individual Practitioner Male Practitioner

Moses Park

Dentist - General Practice • Severna Park, MD

Professional Overview & Biography Verified Profile Summary

Moses Park is a registered healthcare professional specializing in Dentist - General Practice in Severna Park, MD. Practice services are available at 780 GOVERNOR RITCHIE HWY STE 30 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

780 Governor Ritchie Hwy Ste 30

Severna Park, MD 211464135

Telephone 4103849030
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Severna Park, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Severna Park, MD (2555 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

CMS Verified: 2023-06-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 18005

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Moizza Rajan , DDS

Dentist - General Practice

NPI 1265040984

Doctor of Dental Surgery

NPI 1326120544

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 01, 2023

NPI status registered as active in NPPES database

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Updated Practice Location June 01, 2023

Registered at 780 GOVERNOR RITCHIE HWY STE 30, SEVERNA PARK, MD 211464135 (Tel: 4103849030)

📍
Updated Business Mailing Address June 01, 2023

Registered at 13100 DAIRYMAID DR, GERMANTOWN, MD 208742311 (Tel: 4237158593)

👤
Provider Name / Credentials Updated June 01, 2023

Recorded as MOSES PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2023

Dentist (License #18005 in MD)

🟢
Initial NPI Registration & Enumeration June 01, 2023

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: 1306539655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2023
Last Update: June 01, 2023
Sole Proprietor: Yes

Mailing Address

13100 Dairymaid Dr

Germantown, MD 208742311

Phone: 4237158593

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.