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Prestige Periodontics Rockville LLC

NPI 1184377350ActiveOrganization· Dentist, Periodontics· Rockville, MD

Dentist, Periodontics in Rockville, Maryland, registered in NPPES in January 2022, part of Prestige Periodontics LLC. The authorized official on file is Duane Bennett, DDS, MSD, Member.

Overview

NPI1184377350
StatusActive
Entity typeOrganization (subpart)
Parent organizationPrestige Periodontics LLC
NPI issuedJan 28, 2022
Last updated in NPPESJan 28, 2022
Certified by providerJan 28, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Periodontics Primary1223P0300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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