Provider Demographics
NPI:1891821906
Name:DRS. PIKE & VALEGA, PC
Entity Type:Organization
Organization Name:DRS. PIKE & VALEGA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:VALEGA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-972-7000
Mailing Address - Street 1:PO BOX 898
Mailing Address - Street 2:
Mailing Address - City:POOLESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20837-0898
Mailing Address - Country:US
Mailing Address - Phone:301-972-7000
Mailing Address - Fax:301-349-2780
Practice Address - Street 1:19601 FISHER AVE
Practice Address - Street 2:
Practice Address - City:POOLESVILLE
Practice Address - State:MD
Practice Address - Zip Code:20837-2071
Practice Address - Country:US
Practice Address - Phone:301-972-7000
Practice Address - Fax:301-349-2780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD97021223G0001X
MD97681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty