Penn Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8597 Issued in MD

Legal business name

PENN DENTAL INC.

Practice address

4901 Liberty Heights Ave
Baltimore, MD 21207-7052

Phone

(410) 542-7877

Fax

(410) 542-7884

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph L. Dyson Jr., D.D.S.NPI 1518039684

Title

Dentist

Phone

(410) 542-7877

Specialties & licenses 1

Addresses

Other names 1

• howard park dental Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Lee Dyson Jr., D.D.S.,PA

  • Dentist
  • Baltimore, MD
  • NPI 1518039684
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1194846295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LIBERTY HEIGHTS AVE",
            "address_2": "1721 PENNSYLVANIA AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212077052",
            "telephone_number": "410-542-7877",
            "fax_number": "410-542-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212077052",
            "telephone_number": "410-542-7877",
            "fax_number": "410-542-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "DYSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-542-7877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "howard park dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Xiao P Peng
• Xinqi Peng, P.A.
• Yue Peng
• Annalise Bayer Penikis, MD
• Ramakrishnaraju Penmetsa
• Penn North Foot Care (Bennett Podiatry Association PA)
• Penn Optical Co LTD
• Penn Optical Co LTD
• Penn Optical Co LTD
• Penn Optical Co LTD

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.