NPIMap

Organization Active NPI

Daniel Dental LLC

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1104353275
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15214 Issued in MD
Legal business name
DANIEL DENTAL LLC
Practice address
3617 Bancroft Rd
Baltimore, MD 21215-3229
Phone
(646) 509-4138
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David Daniel, DDSNPI 1154673341
Title
Dentist, Owner
Phone
(646) 509-4138

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 15214 MD Primary

Addresses

Primary practice location

3617 Bancroft Rd
Baltimore, MD 21215-3229

Mailing address

3617 Bancroft Rd
Baltimore, MD 21215-3229
Phone (646) 509-4138

National Provider Directory

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": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104353275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 BANCROFT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153229",
            "telephone_number": "646-509-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 BANCROFT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153229",
            "telephone_number": "646-509-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "646-509-4138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.