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

Shady Grove Children's Gad, LLC

Organization Dentist · NPI 1104516194

Shady Grove Children's Gad, LLC is a Dentist in Rockville, Maryland. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
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

15001 Shady Grove Rd Ste 110
Rockville, MD 20850-6354
Phone: (301) 494-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Dental Anesthesiology Taxonomy 1223D0004X
General Practice Dentistry Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X

Record details

NPI number1104516194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Wheeler — Ceo · (301) 494-3000
NPI enumeratedMay 11, 2023
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address1220 Caraway Ct Ste 1050, Upper Marlboro, MD 20774-5338

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