Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethesda Orthodontic Specialist

Organization General Practice Dentistry · NPI 1164005419

Bethesda Orthodontic Specialist is a General Practice Dentistry in Bethesda, Maryland. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

4405 E West Hwy Ste 102
Bethesda, MD 20814-4532
Phone: (301) 654-3011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X
General Practice Dentistry Taxonomy 1223G0001X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1164005419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Ly — Manager · (301) 654-3011
Other names Bethesda Dental Specialties
NPI enumeratedMay 4, 2021
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021
Mailing address4405 E West Hwy Ste 102, Bethesda, MD 20814-4532

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