Shady Grove Modern Dental Pc is a Dental Clinic in Gaithersburg, Maryland. It is located at 9051 Shady Grove Court, Gaithersburg, MD and its contact number is 301-330-4613. The authorized person for Shady Grove Modern Dental Pc is Duy Tam Tran Kiem
who is President of the clinic and their contact number is 301-330-4613. The primary license number for Shady Grove Modern Dental Pc is 11662 (Dentist) in Maryland.
Shady Grove Modern Dental Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Shady Grove Modern Dental Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Shady Grove Modern Dental Pc |
| Specialization: | Dentistry |
| Clinic Address: | 9051 Shady Grove Court, Gaithersburg,
Maryland, 20877 |
| Phone: | 301-330-4613 |
| Fax: | 301-330-4619 |
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: | Duy Tam Tran Kiem |
| Position: | President |
| Contact Number: | 301-330-4613 |
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 Shady Grove Modern Dental Pc clinic are as mentioned below.
| NPI Number: | 1508802414 |
| NPI Enumeration Date: | 20 Jun, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shady Grove Modern Dental Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 11662 | Maryland | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shady Grove Modern Dental Pc
9051 Shady Grove Court,
Gaithersburg, Maryland |
| Zip: | 20877 |
| Phone Number: | 301-330-4613 |
| Fax Number: | 301-330-4619 |
Patients can reach Shady Grove Modern Dental Pc at
9051 Shady Grove Court, Gaithersburg, Maryland or can
call to book an appointment on 301-330-4613.
Comments/ Reviews:
Read all the reviews posted for Shady Grove Modern Dental Pc below. You may also share your own experience with Shady Grove Modern Dental Pc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.