Provider Demographics
NPI:1902128002
Name:LOCKWOOD FAMILY DENTAL OFFICE P.C.
Entity Type:Organization
Organization Name:LOCKWOOD FAMILY DENTAL OFFICE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:FIGUEREDO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-754-3703
Mailing Address - Street 1:10801 LOCKWOOD DR STE 340
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1589
Mailing Address - Country:US
Mailing Address - Phone:301-754-3703
Mailing Address - Fax:301-754-3702
Practice Address - Street 1:10801 LOCKWOOD DR STE 340
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1589
Practice Address - Country:US
Practice Address - Phone:301-754-3703
Practice Address - Fax:301-754-3702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD118771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty