Acadia Dental of Frederick

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14395 Issued in MD

Legal business name

ACADIA DENTAL OF FREDERICK

Practice address

18077 Garland Groh Blvd
Hagerstown, MD 21740-2064

Phone

(301) 797-2538

NPI assigned

Jan 9, 2012

Last updated

Jan 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shariq Baqai

Title

President

Phone

(301) 797-2538

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1023388097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 HIGH POINTE BLVD",
            "city": "SWATARA",
            "state": "PA",
            "postal_code": "171112463",
            "telephone_number": "717-564-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18077 GARLAND GROH BLVD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217402064",
            "telephone_number": "301-797-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA DENTAL OF FREDERICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "BAQAI",
        "authorized_official_first_name": "SHARIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-797-2538"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.