Avalon Dental Center, Inc
NPI 1407629173 · Dental Clinic/Center · Upper Marlboro, MD
Avalon Dental Center, Inc is a Dental Clinic/Center organization in Upper Marlboro, MD (NPI 1407629173).
Provider details
- NPI number
- 1407629173
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mofolusara Ogunfusika, Dentist(301) 599-0404
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- Avalon Dental Center, Inc
Registry dates
- Enumerated
- 2023-11-03
- Last updated
- 2023-11-03
- Certified
- 2023-11-03
Frequently asked questions
- What is Avalon Dental Center, Inc's NPI number?
- Avalon Dental Center, Inc's National Provider Identifier (NPI) is 1407629173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avalon Dental Center, Inc?
- Avalon Dental Center, Inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Avalon Dental Center, Inc located?
- Avalon Dental Center, Inc's practice location on file with NPPES is 9614 Pennsylvania Ave, Upper Marlboro, MD 20772-3670.
- What is Avalon Dental Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Avalon Dental Center, Inc is (301) 599-0404.
- Who is the authorized official for Avalon Dental Center, Inc?
- The authorized official listed on Avalon Dental Center, Inc's NPPES record is Mofolusara Ogunfusika, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avalon Dental Center, Inc's NPI active?
- Yes — Avalon Dental Center, Inc's NPI (1407629173) is active in the NPPES registry as of the last update on 2023-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.