Provider Demographics
NPI:1982037388
Name:PIKE, DONALD TIMOTHY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:TIMOTHY
Last Name:PIKE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:301-325-0880
Mailing Address - Fax:301-349-2780
Practice Address - Street 1:121 CONGRESSIONAL LN
Practice Address - Street 2:SUITE 410
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1542
Practice Address - Country:US
Practice Address - Phone:301-770-4210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD9768122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist