Provider Demographics
NPI:1811381320
Name:DECHTER & MOY, DDS, LLC
Entity Type:Organization
Organization Name:DECHTER & MOY, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:MOY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:240-286-4145
Mailing Address - Street 1:12900 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3742
Mailing Address - Country:US
Mailing Address - Phone:301-949-5400
Mailing Address - Fax:301-949-4320
Practice Address - Street 1:12900 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-3742
Practice Address - Country:US
Practice Address - Phone:301-949-5400
Practice Address - Fax:301-949-4320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133751223G0001X
MD078321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty