OrganizationActive
Shady Grove Modern Dental PC
NPI 1508802414 · Dentist · Gaithersburg, MD
Shady Grove Modern Dental PC is a Dentist organization in Gaithersburg, MD (NPI 1508802414).
Provider details
- NPI number
- 1508802414
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Duy Tam Tran Kiem, President(301) 330-4613
- License
- 11662 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
9051 Shady Grove Court
Gaithersburg, MD 20877
Phone: (301) 330-4613
Fax: (301) 330-4619
Street-level locationGet directions
Mailing address
9051 Shady Grove Court
Gaithersburg, MD 20877
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Shady Grove Modern Dental PC's NPI number?
- Shady Grove Modern Dental PC's National Provider Identifier (NPI) is 1508802414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Grove Modern Dental PC?
- Shady Grove Modern Dental PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Shady Grove Modern Dental PC located?
- Shady Grove Modern Dental PC's practice location on file with NPPES is 9051 Shady Grove Court, Gaithersburg, MD 20877.
- What is Shady Grove Modern Dental PC's phone number?
- The practice phone number listed in the NPPES registry for Shady Grove Modern Dental PC is (301) 330-4613.
- Who is the authorized official for Shady Grove Modern Dental PC?
- The authorized official listed on Shady Grove Modern Dental PC's NPPES record is Duy Tam Tran Kiem, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Grove Modern Dental PC's NPI active?
- Yes — Shady Grove Modern Dental PC's NPI (1508802414) is active in the NPPES registry as of the last update on 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.