Organization Active NPI

Koval Dentistry Services, P.C.

Doing business as Family Dental Care

  • General Practice Dentistry
  • Owings Mills, MD
National Provider Identifier
1073682548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KOVAL DENTISTRY SERVICES, P.C.
Doing business as
Family Dental Care
Practice address
20 Crossroads Dr Ste 216
Owings Mills, MD 21117-5481
Phone
(410) 581-3012
Fax
(410) 581-3045
NPI assigned
Nov 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Anna Shkolnik
Title
Office Manager
Phone
(410) 581-3012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

20 Crossroads Dr Ste 216
Owings Mills, MD 21117-5481

Mailing address

20 Crossroads Dr Ste 216
Owings Mills, MD 21117-5481
Phone (410) 581-3012

Other identifiers 2

IdentifierTypeStateIssuer
6580OtherMDDENTAL NETWORK
1803483OtherMDUNITED CONCORDIA

Other names 1

  • Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

20 Crossroads Dr
Ste 216
Owings Mills, MD 21117
Phone (410) 581-3012

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073682548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR STE 216",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175481",
            "telephone_number": "410-581-3012",
            "fax_number": "410-581-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR STE 216",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175481",
            "telephone_number": "410-581-3012",
            "fax_number": "410-581-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOVAL DENTISTRY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHKOLNIK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-581-3012",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL NETWORK",
            "identifier": "6580",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1803483",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.