Provider Demographics
NPI:1578769576
Name:MOTZ, BRIAN K (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:K
Last Name:MOTZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 THOMAS JOHNSON DR STE 195
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4955
Mailing Address - Country:US
Mailing Address - Phone:301-698-0044
Mailing Address - Fax:301-698-1440
Practice Address - Street 1:161 THOMAS JOHNSON DR STE 195
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4955
Practice Address - Country:US
Practice Address - Phone:301-698-0044
Practice Address - Fax:301-698-1440
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD140951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice