Pediatric Hospital Dentistry
Organization Active NPI Pediatric Dentistry · Odenton, MD
NPI 1033092291 · NPPES record last updated Jul 28, 2025
Key facts
- NPI
- 1033092291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- PEDIATRIC HOSPITAL DENTISTRY
- Practice address
- 1215 Annapolis Rd Ste 205
Odenton, MD 21113-1346 - Phone
- (443) 858-8377
- NPI assigned
- Jul 28, 2025
- Organization subpart
- No
Authorized official
- Name
- Eilen Buckle, DDS
- Title
- Ceo
- Phone
- (443) 858-8377
Practitioners 1
-
Eileen Buckle, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
1215 Annapolis Rd Ste 205
Odenton, MD 21113-1346
Mailing address
1215 Annapolis Rd Ste 205
Odenton, MD 21113-1346
Other providers in Odenton, MD
- Tracy Mitchell Parker
- Patient First Maryland Medical Group
- Patient First Maryland Medical Group PLLC
- Thomas Joseph Patota
- Scott Anthony Peck
- Christine Peed
- Pellerin Chiropractic, Inc.
- Melissa Pena
- Sarah Pena
- Brittany Pender
All providers in Odenton, MD · Pediatric 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 28, 2025. 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.