Active NPI
Koval Dentistry Services, P.C.
Doing business as Family Dental Care
- General Practice Dentistry
- Owings Mills, MD
National Provider Identifier
1073682548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6580 | Other | MD | DENTAL NETWORK |
| 1803483 | Other | MD | UNITED CONCORDIA |
Other names 1
- Family Dental Care
National Provider Directory
National Provider DirectoryLocations
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.