Provider Demographics
NPI:1619350758
Name:RCT ENDODONTICS OF LAUREL, LLC
Entity Type:Organization
Organization Name:RCT ENDODONTICS OF LAUREL, LLC
Other - Org Name:ADVANCED ROOT CANAL SPECIALISTS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:ORGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-562-9455
Mailing Address - Street 1:9889 BREWERS CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1905
Mailing Address - Country:US
Mailing Address - Phone:240-360-2412
Mailing Address - Fax:240-360-2417
Practice Address - Street 1:9889 BREWERS CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1905
Practice Address - Country:US
Practice Address - Phone:240-360-2412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD145621223E0200X
1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty