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Active NPI 1003564626 Individual Practitioner Male Practitioner

Dr. Jesus Vivar , DMD

Dentist • Wheaton, MD

Professional Overview & Biography Verified Profile Summary

Dr. Jesus Vivar, DMD is a registered healthcare professional specializing in Dentist in Wheaton, MD. Practice services are available at 11228 GEORGIA AVE STE 12 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11228 Georgia Ave Ste 12

Wheaton, MD 209024694

Telephone 3019290244

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Wheaton, MD

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

Practicing in Wheaton, 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

CMS Verified: 2024-01-29
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MD 18283

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

1 Associated Practitioners
Dr. Hector Serrano , DDS

Dentist - General Practice

NPI 1669686028

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 29, 2024

Registered at 11228 GEORGIA AVE STE 12, WHEATON, MD 209024694 (Tel: 3019290244)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2024

Dentist (License #18283 in MD)

NPI Profile Active March 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2022

Registered at 4422 3RD AVE, BRONX, NY 104572545 (Tel: 7186188961)

📍
Updated Business Mailing Address March 14, 2022

Registered at 4207 EDMONSTON RD, BLADENSBURG, MD 207101230

👤
Provider Name / Credentials Updated March 14, 2022

Recorded as JESUS VIVAR, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 14, 2022

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: 1003564626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2022
Last Update: January 29, 2024
Sole Proprietor: No

Mailing Address

4207 Edmonston Rd

Bladensburg, MD 207101230

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.