Duane Erickson, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7215 Issued in MD

Legal business name

DUANE ERICKSON, DDS

Practice address

2923 Olney Sandy Spring Rd Ste D
Olney, MD 20832-1583

Phone

(301) 774-5040

Fax

(301) 774-5042

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Duane Erickson, DDS

Title

Owner

Phone

(301) 774-5040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1205973641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 OLNEY SANDY SPRING RD STE B",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321738",
            "telephone_number": "301-774-5040",
            "fax_number": "301-774-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 OLNEY SANDY SPRING RD STE D",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321583",
            "telephone_number": "301-774-5040",
            "fax_number": "301-774-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE ERICKSON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-774-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "7215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Doyle, RD, LD, MA
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• Johny Joseph Edappully, M.D.
• Dorie E. Eger, D.D.S., M.S.

• All providers in Olney, MD
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.