Organization Active NPI

Frontera Dental

  • General Practice Dentistry
  • Lutherville, MD
National Provider Identifier
1215128137
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10917 Issued in MD
Legal business name
FRONTERA DENTAL
Practice address
101 W Ridgely Rd
3B
Lutherville, MD 21093-5101
Phone
(410) 252-1900
Fax
(410) 252-6546
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Joseph I Frontera, D.D.S.NPI 1497161277
Title
Owner
Phone
(410) 252-1900

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10917 MD Primary

Addresses

Primary practice location

101 W Ridgely Rd
3B
Lutherville, MD 21093-5101

Mailing address

101 W Ridgely Rd
3B
Lutherville, MD 21093-5101
Phone (410) 252-1900

National Provider Directory

National Provider Directory

Locations

101 W Ridgely Rd
Ste 3B
Lutherville, MD 21093
Phone (410) 252-1900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1215128137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W RIDGELY RD",
            "address_2": "3B",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935101",
            "telephone_number": "410-252-1900",
            "fax_number": "410-252-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W RIDGELY RD",
            "address_2": "3B",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935101",
            "telephone_number": "410-252-1900",
            "fax_number": "410-252-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTERA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "FRONTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-252-1900",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.