NPIMap

Organization Active NPI

Dental Associates L.L.C.

  • General Practice Dentistry
  • Westminster, MD
National Provider Identifier
1205805801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL ASSOCIATES L.L.C.
Practice address
603 Nursery Rd
Westminster, MD 21157-6109
Phone
(410) 876-6612
Fax
(410) 876-3760
NPI assigned
Mar 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marshall W. Fesche, D.D.S.NPI 1366411175
Title
Owner
Phone
(410) 876-6612

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 Dentistry 1223G0001X Primary

Addresses

Primary practice location

603 Nursery Rd
Westminster, MD 21157-6109

Mailing address

603 Nursery Rd
Westminster, MD 21157-6109
Phone (410) 876-6612

National Provider Directory

National Provider Directory
Tax ID family
Dental Associates LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

603 Nursery Rd
Westminster, MD 21157
Phone (410) 848-5577

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205805801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NURSERY RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576109",
            "telephone_number": "410-876-6612",
            "fax_number": "410-876-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NURSERY RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576109",
            "telephone_number": "410-876-6612",
            "fax_number": "410-876-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FESCHE",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-876-6612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.