Organization Active NPI

Dr. Janice I. Blough-Labuda, DMD, PA

  • Dental Clinic/Center
  • Lavale, MD
National Provider Identifier
1104154376
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12554 Issued in MD
Legal business name
DR. JANICE I. BLOUGH-LABUDA, DMD, PA
Practice address
444 National Hwy
Lavale, MD 21502-7129
Phone
(301) 724-2978
Fax
(301) 724-6652
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Dr. Janice Irene Blough-Labuda, DMDNPI 1114905569
Title
Dentist/Owner
Phone
(301) 724-2978

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
Dental Clinic/Center 261QD0000X 12554 MD Primary

Addresses

Primary practice location

444 National Hwy
Lavale, MD 21502-7129

Mailing address

444 National Hwy
Lavale, MD 21502-7129
Phone (301) 724-2978

National Provider Directory

National Provider Directory

Locations

444 National Hwy
Lavale, MD 21502
Phone (301) 724-2978

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": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1104154376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027129",
            "telephone_number": "301-724-2978",
            "fax_number": "301-724-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027129",
            "telephone_number": "301-724-2978",
            "fax_number": "301-724-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JANICE I. BLOUGH-LABUDA, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "BLOUGH-LABUDA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "301-724-2978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "12554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.