Lucia O Ditch, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12219 Issued in MD

Practice address

10484 Campus Way S
Upper Marlboro, MD 20774-1387

Phone

(301) 350-0222

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Howard S. Salob D.D.S.,P.a.

  • Dentist
  • Upper Marlboro, MD
  • NPI 1598829285
  NPD (past)
• Largo Bright Smiles LLC

  • General Practice Dentistry
  • Upper Marlboro, MD
  • NPI 1568836054

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1013106079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10484 CAMPUS WAY S",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741387",
            "telephone_number": "301-350-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10484 CAMPUS WAY S",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741387",
            "telephone_number": "301-350-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITCH",
        "first_name": "LUCIA",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12219",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sheldon D. Diskin, O.D.
• Divine Charis Health Services LLC
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• Charnita R Dixon
• Richard Arnaud Djiekoua Yossa

• All providers in Upper Marlboro, MD
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.