Bethany Serafin Awalt, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

14054 Issued in MD

Practice address

2 Reservoir Cir Ste 103
Pikesville, MD 21208-1391

Phone

(410) 581-9008

Fax

(410) 581-6720

NPI assigned

Jun 8, 2006

Last updated

Apr 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Bethany Serafin Awalt, DMD, PA

  dba Valley Village Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Pikesville, MD
  • NPI 1376861088
  NPD Authorized official
• Steven G. Ashman, DDS, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Owings Mills, MD
  • NPI 1396909396
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1043251507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RESERVOIR CIR STE 103",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081391",
            "telephone_number": "410-581-9008",
            "fax_number": "410-581-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RESERVOIR CIR STE 103",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081391",
            "telephone_number": "410-581-9008",
            "fax_number": "410-581-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWALT",
        "first_name": "BETHANY",
        "middle_name": "SERAFIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "8332",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "14054",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "8332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malika Austin
• Quanetta Austin
• Aventura at the Heights
• Ashley Averett
• Alexandra Aviles
• Gloria Aderomola Olamide Awojobi
• Karen Axelson, M.S., CCC-SLP
• Diana Ayala
• Yodit Enkossa Ayana
• Brooklin Lexis Ayd

• Oral and Maxillofacial Surgery (Dentist) in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2020; 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.