Chesapeake Pediatric Dental Group, Inc
Organization Active NPI Pediatric Dentistry · Perry Hall, MD
NPI 1093589350 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1093589350
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- CHESAPEAKE PEDIATRIC DENTAL GROUP, INC
- Practice address
- 5002 Honeygo Center Dr Ste 101
Perry Hall, MD 21128-8962 - Phone
- (410) 248-3384
- Fax
- (410) 248-3385
- NPI assigned
- Nov 8, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Hakan Omer Koymen, DDS, MS
- Title
- President
- Phone
- (410) 979-4483
Subparts reporting this organization as parent 4
Practitioners 5
-
Hyun Kyong Kwak, DMD
-
Hakan Omer Koymen, DDS, MS
-
Malik Noel Walters, DDS
-
Jae Marie Grymes, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
5002 Honeygo Center Dr Ste 101
Perry Hall, MD 21128-8962
Mailing address
5002 Honeygo Center Dr Ste 101
Perry Hall, MD 21128-8962
Phone (410) 248-3384
Other practice location 1
4009 North Point Blvd
Suite 101
Dundalk, MD 21222
Phone (410) 388-8273
Other practice location 2
7556 Teague Rd Ste 110
Hanover, MD 21076-1969
Phone (410) 799-0780
Other practice location 3
3400 Box Hill Corporate Center Dr Ste 120
Abingdon, MD 21009-1290
Phone (410) 569-4300
Other providers in Perry Hall, MD
- Maria Fatima Joanna Castro Casala
- Terese Chando
- Charlotte'S Hair Line Inc.
- Olivia Cheikh
- Chesapeake Pediatric Dental Group Inc
- Allison Chiu
- James Lawson Clements
- James Coles II
- Jeffrey A. Cool
- Anthony Tanner Crisafulli
All providers in Perry Hall, MD · Pediatric Dentistry in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.