OrganizationActive
Keith F. Theodore, DDS
NPI 1164519385 · Dentist · Lanham, MD
Provider details
- NPI number
- 1164519385
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Keith Theodore, President(301) 577-6002
- License
- 7399 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
9510 Lanham Severn Rd
Lanham, MD 20706-2624
Phone: (301) 577-6002
Fax: (301) 577-7267
Street-level locationGet directions
Mailing address
9510 Lanham Severn Rd
Lanham, MD 20706-2624
Other names (DBA / former)
- Doing business as
- (1)lanham Family Dental Center (2)tooth-N-Nail,inc
Registry dates
- Enumerated
- 2006-10-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.