Gino Barillas, DMD
Individual provider Active NPI General Practice Dentistry · Forest Hill, MD
NPI 1023744950 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1023744950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 17594 (MD)
- Practice address
- 2018 Rock Spring Rd
Forest Hill, MD 21050-2631 - Phone
- (410) 879-4444
- NPI assigned
- Jul 25, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17594 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bel Air Dental Health Associates | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17594 | MD | Yes |
Addresses
Primary practice location
2018 Rock Spring Rd
Forest Hill, MD 21050-2631
Mailing address
3401 Cayman Way Apt 101
Abingdon, MD 21009-2841
Phone (732) 887-8741
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- Barry a Trager DDS, PA
- Baili Bartkowiak
- Terri Alice Bartley
- Kathryn Abigail Batt
All providers in Forest Hill, MD · General Practice Dentistry in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.