Provider Demographics
NPI:1033478375
Name:POPE, ANGELO GAYHEART JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELO
Middle Name:GAYHEART
Last Name:POPE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:42152 SANDOWN PARK TER
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-5807
Mailing Address - Country:US
Mailing Address - Phone:850-212-6919
Mailing Address - Fax:
Practice Address - Street 1:50 OLNEY SANDY SPRING RD
Practice Address - Street 2:
Practice Address - City:ASHTON
Practice Address - State:MD
Practice Address - Zip Code:20861-3656
Practice Address - Country:US
Practice Address - Phone:850-212-6919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-07
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014150041223P0221X
MD155381223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric Dentistry