Provider Demographics
NPI:1821494238
Name:THE DENTAL INSTITUTE
Entity Type:Organization
Organization Name:THE DENTAL INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:LANZA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-654-7808
Mailing Address - Street 1:4330 E WEST HWY STE 316
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4408
Mailing Address - Country:US
Mailing Address - Phone:301-654-7808
Mailing Address - Fax:301-654-3177
Practice Address - Street 1:4330 E WEST HWY STE 316
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4408
Practice Address - Country:US
Practice Address - Phone:301-654-7808
Practice Address - Fax:301-654-3177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14205261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental