NPIMap

Organization Active NPI

Elkton-Bear Dental Arts, LLC

  • General Practice Dentistry
  • Elkton, MD
National Provider Identifier
1093538100
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELKTON-BEAR DENTAL ARTS, LLC
Practice address
142 W High St
Elkton, MD 21921-8605
Phone
(410) 398-3336
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Jessica BakerNPI 1326120569
Title
Dentist
Phone
(410) 398-3336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

142 W High St
Elkton, MD 21921-8605

Mailing address

142 W High St
Elkton, MD 21921-8605
Phone (410) 398-3336

National Provider Directory

National Provider Directory
Tax ID family
Elkon-Bear Dental Arts LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1093538100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W HIGH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219218605",
            "telephone_number": "410-398-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W HIGH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219218605",
            "telephone_number": "410-398-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKTON-BEAR DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-398-3336"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.