Crown & Glory Dental, Llc is a Dental Clinic in Waldorf, Maryland. It is located at 11479 Berry Rd, Waldorf, MD and its contact number is 202-425-9618. The authorized person for Crown & Glory Dental, Llc is Dr. Nakia S. Bush
who is Dentist/owner of the clinic and their contact number is 240-754-7425.
Crown & Glory Dental, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Crown & Glory Dental, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Crown & Glory Dental, Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 11479 Berry Rd, Waldorf,
Maryland, 20603-5957 |
| Phone: | 202-425-9618 |
| Fax: | 240-754-7425 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Nakia S. Bush |
| Position: | Dentist/owner |
| Contact Number: | 240-754-7425 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Crown & Glory Dental, Llc clinic are as mentioned below.
| NPI Number: | 1528656600 |
| NPI Enumeration Date: | 05 Jan, 2021 |
| NPI Last Update On: | 05 Jan, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crown & Glory Dental, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 039376200 | Medicaid | Maryland | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Crown & Glory Dental, Llc
11479 Berry Rd,
Waldorf, Maryland |
| Zip: | 20603-5957 |
| Phone Number: | 202-425-9618 |
| Fax Number: | 240-754-7425 |
Patients can reach Crown & Glory Dental, Llc at
11479 Berry Rd, Waldorf, Maryland or can
call to book an appointment on 202-425-9618.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.