NPIMap

Organization Active NPI

Town Center Cosmetic Dentistry, LLC

  • Dental Clinic/Center
  • Towson, MD
National Provider Identifier
1013634880
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TOWN CENTER COSMETIC DENTISTRY, LLC
Practice address
515 E Joppa Rd Ste 200
Towson, MD 21286-1805
Phone
(410) 828-8000
Fax
(410) 828-8001
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Dr. Brittany Warren Bergeron, DDSNPI 1982036489
Title
Owner
Phone
(410) 828-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

515 E Joppa Rd Ste 200
Towson, MD 21286-1805

Mailing address

515 E Joppa Rd Ste 200
Towson, MD 21286-1805
Phone (410) 828-8000

National Provider Directory

National Provider Directory

Locations

515 E Joppa Rd
Ste 200
Towson, MD 21286
Phone (410) 296-4665

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1013634880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E JOPPA RD STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212861805",
            "telephone_number": "410-828-8000",
            "fax_number": "410-828-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E JOPPA RD STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212861805",
            "telephone_number": "410-828-8000",
            "fax_number": "410-828-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CENTER COSMETIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-828-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.