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

Russell Park Dental Care, LLC

Organization Dental Clinic/Center · NPI 1407474380

Russell Park Dental Care, LLC is a Dental Clinic/Center in Gaithersburg, Maryland. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

963 Russell Ave Ste A
Gaithersburg, MD 20879-3287
Phone: (301) 284-8467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1407474380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vigen Simchian — Member · (301) 284-8467
NPI enumeratedJuly 8, 2020
Last updated in NPPESJuly 8, 2020
Certification dateJuly 8, 2020
Mailing address963 Russell Ave Ste A, Gaithersburg, MD 20879-3287

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