Organization Active NPI

Julian Center for Comprehensive Dentistry

  • General Practice Dentistry
  • Ellicott City, MD
National Provider Identifier
1114015468
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07296 Issued in MD
Legal business name
JULIAN CENTER FOR COMPREHENSIVE DENTISTRY
Practice address
5012 Dorsey Hall Dr
Ste 205
Ellicott City, MD 21042-7711
Phone
(410) 964-3118
Fax
(410) 964-3154
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Dr. Eugene A. Sambataro, DDSNPI 1437549011
Title
Director
Phone
(410) 964-3118

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 07296 MD Primary

Addresses

Primary practice location

5012 Dorsey Hall Dr
Ste 205
Ellicott City, MD 21042-7711

Mailing address

5012 Dorsey Hall Dr
Ste 205
Ellicott City, MD 21042-7711
Phone (410) 964-3118

National Provider Directory

National Provider Directory

Locations

5012 Dorsey Hall Dr
Ste 205
Ellicott City, MD 21042
Phone (410) 964-3118

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1114015468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 DORSEY HALL DR",
            "address_2": "STE 205",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427711",
            "telephone_number": "410-964-3118",
            "fax_number": "410-964-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 DORSEY HALL DR",
            "address_2": "STE 205",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427711",
            "telephone_number": "410-964-3118",
            "fax_number": "410-964-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIAN CENTER FOR COMPREHENSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "SAMBATARO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-964-3118",
        "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": "07296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.