Dr Larosliere DDS - Baltimore Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DR LAROSLIERE DDS - BALTIMORE INC

Practice address

1001 N Point Blvd Ste 503
Baltimore, MD 21224-3413

Phone

(410) 282-8900

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Magdalena Evans

Title

Sr. Credentialing Specialist

Phone

(720) 603-4800

Specialties & licenses 1

Addresses

Other names 1

• EASTPOINT PEDIATRIC DENTAL ASSOC Doing business as

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1073380978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N POINT BLVD STE 503",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243413",
            "telephone_number": "410-282-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N POINT BLVD STE 503",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243413",
            "telephone_number": "410-282-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LAROSLIERE DDS - BALTIMORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "SR. CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-603-4800"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTPOINT PEDIATRIC DENTAL ASSOC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.