Individual provider Active NPI

Roberta J. Dosh, D.D.S.

  • General Practice Dentistry
  • Burtonsville, MD
National Provider Identifier
1154365427
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11565 Issued in MD
Practice address
3905 National Dr
Suite 340
Burtonsville, MD 20866-1100
Phone
(301) 421-1300
Fax
(301) 421-4246
NPI assigned
Jun 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11565 MD Primary

Addresses

Primary practice location

3905 National Dr
Suite 340
Burtonsville, MD 20866-1100

Mailing address

8408 Governor Bradford LN
Ellicott City, MD 21043-3452
Phone (410) 465-9288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624002170 MD Order and Referring Only - DentistPractitioner - Dentist 0143531699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11565MDMDMental Health Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154365427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 GOVERNOR BRADFORD LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433452",
            "telephone_number": "410-465-9288",
            "fax_number": "301-421-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR",
            "address_2": "SUITE 340",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661100",
            "telephone_number": "301-421-1300",
            "fax_number": "301-421-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSH",
        "first_name": "ROBERTA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

Verify at the official NPI Registry.