Kids Dental Center, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

13079 Issued in MD

Legal business name

KIDS DENTAL CENTER, LLC

Practice address

5060 Dorsey Hall Dr Ste 104
Ellicott City, MD 21042-7885

Phone

(410) 740-0606

Fax

(410) 964-3630

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Biederman, DDS

Title

Partner

Phone

(410) 740-0606

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paul Dean Biederman, DDS

  • Pediatric Dentistry
  • Ellicott City, MD
  • NPI 1467585588
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1053589010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 DORSEY HALL DR STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427885",
            "telephone_number": "410-740-0606",
            "fax_number": "410-964-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 DORSEY HALL DR STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427885",
            "telephone_number": "410-740-0606",
            "fax_number": "410-964-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "BIEDERMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-740-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "13079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Nawaz Khan, M.D.
• Sarah Khan
• Lubni Khanam
• Asra Khatoon, RBT
• Bryan Sungkoo Khim, M.D.
• Kids' Village Therapy, LLC
• Mary Julie Kieta
• Kim & Kim, D.D.S., P.a.
• Kim Jones-Fearing M.D. LLC
• Byung-Oh Kim, M.D.

• Dental Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.