Bethesda Orthodontic Specialist
NPI 1164005419 · Orthodontics and Dentofacial Orthopedics Dentistry · Bethesda, MD
Bethesda Orthodontic Specialist is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Bethesda, MD (NPI 1164005419).
Provider details
- NPI number
- 1164005419
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Ly, Manager(301) 654-3011
Specialties & taxonomies
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bethesda Dental Specialties
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2021-06-15
- Certified
- 2021-06-15
Frequently asked questions
- What is Bethesda Orthodontic Specialist's NPI number?
- Bethesda Orthodontic Specialist's National Provider Identifier (NPI) is 1164005419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bethesda Orthodontic Specialist?
- Bethesda Orthodontic Specialist is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Bethesda Orthodontic Specialist located?
- Bethesda Orthodontic Specialist's practice location on file with NPPES is 4405 E West Hwy Ste 102, Bethesda, MD 20814-4532.
- What is Bethesda Orthodontic Specialist's phone number?
- The practice phone number listed in the NPPES registry for Bethesda Orthodontic Specialist is (301) 654-3011.
- Who is the authorized official for Bethesda Orthodontic Specialist?
- The authorized official listed on Bethesda Orthodontic Specialist's NPPES record is Jonathan Ly, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bethesda Orthodontic Specialist's NPI active?
- Yes — Bethesda Orthodontic Specialist's NPI (1164005419) is active in the NPPES registry as of the last update on 2021-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.