Provider Demographics
NPI:1598947749
Name:ANIYA,ADACHI DENTAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:ANIYA,ADACHI DENTAL ASSOCIATES, P.A.
Other - Org Name:FAMILY SMILE DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:G
Authorized Official - Last Name:ANIYA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-515-9600
Mailing Address - Street 1:20500 SENECA MEADOWS PKWY
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-7008
Mailing Address - Country:US
Mailing Address - Phone:301-515-9600
Mailing Address - Fax:301-515-9653
Practice Address - Street 1:20500 SENECA MEADOWS PKWY
Practice Address - Street 2:SUITE 2200
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7008
Practice Address - Country:US
Practice Address - Phone:301-515-9600
Practice Address - Fax:301-515-9653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty