Provider Demographics
NPI:1073358594
Name:NGO, CLAUDIA M (DDS)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:M
Last Name:NGO
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3905 NATIONAL DR STE 370
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-6117
Mailing Address - Country:US
Mailing Address - Phone:301-421-1300
Mailing Address - Fax:
Practice Address - Street 1:3905 NATIONAL DR STE 370
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-6117
Practice Address - Country:US
Practice Address - Phone:301-421-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18164122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist