IndividualActive
Andrew Tong, DDS, MS
NPI 1053874016 · Periodontics · Gaithersburg, MD
Provider details
- NPI number
- 1053874016
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16998 (MD)
Specialties & taxonomies
Dental Providers
Practice location
903 Russell Ave Ste 200
Gaithersburg, MD 20879-3282
Phone: (301) 962-2485
Approximate (ZIP-level) locationGet directions
Mailing address
903 Russell Ave Ste 200
Gaithersburg, MD 20879-3282
Additional practice locations (1)
- 23206 Brewers Tavern WayClarksburg, MD 20871-4391Phone: (301) 804-1980
Registry dates
- Enumerated
- 2019-04-08
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.