MD Specialty Dental Services, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MD SPECIALTY DENTAL SERVICES, LLC

Practice address

5900 Waterloo Rd Ste 220
Columbia, MD 21045-2638

Phone

(410) 630-8189

NPI assigned

Aug 5, 2022

Organization subpart

No

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

Authorized official

Name

Charlotte Dasch

Title

Director of Provider Relations

Phone

(504) 638-0303

Specialties & licenses 1

Addresses

Tax ID family

MD Specialty Dental Services 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.

• MD Specialty Dental Services, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbia, MD
  • NPI 1902646722
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• MD Specialty Dental Services, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbia, MD
  • NPI 1902646722
  NPPES parent name

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1134856461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "615-678-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 WATERLOO RD STE 220",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452638",
            "telephone_number": "410-630-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SPECIALTY DENTAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER RELATIONS",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas McWilliams, MD
• MD Laser Medicine and Surgery Inc
• MD Laser Surgery Center, LLC
• MD Oms SDS, LLC
• MD Pain Relief Center, LLC
• MD Specialty Dental Services, LLC
• Nathan Mead
• Briana Meader, LCSW-C
• Dean William Meadows, M.D.
• Alexia Mechling

• Orthodontics and Dentofacial Orthopedics Dentistry in Columbia, MD
• Providers in Columbia, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.