Shady Grove Modern Dental PC
NPI 1508802414ActiveOrganization· Dentist· Gaithersburg, MD
Dentist in Gaithersburg, Maryland, registered in NPPES in June 2006. The authorized official on file is Duy Tam Tran Kiem, DMD, President.
Overview
| NPI | 1508802414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 11662 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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