Maiden Choice Family Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MAIDEN CHOICE FAMILY DENTAL LLC

Practice address

4660 Wilkens Ave Ste 301
Baltimore, MD 21229-4845

Phone

(410) 247-4728

Fax

(443) 297-8908

NPI assigned

Mar 19, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jun Y Park, DDSNPI 1548443831

Title

Owner

Phone

(443) 851-3060

Specialties & licenses 1

Addresses

Other names 2

• Maiden Choice Family Dental LLC Doing business as
• Adrian A Sanchez DDS PA Former legal business name

Locations

Practitioners 1

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

• Jun Young Park, DDS

  • Dentist
  • Lutherville Timonium, MD
  • NPI 1548443831
  NPD Authorized official

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1235939018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 WILKENS AVE STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294845",
            "telephone_number": "443-851-3060",
            "fax_number": "443-297-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 WILKENS AVE STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294845",
            "telephone_number": "410-247-4728",
            "fax_number": "443-297-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIDEN CHOICE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-851-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maiden Choice Family Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maiden Choice Family Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adrian A Sanchez DDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Anna Coleen Mahr, LCPC
• Michael Mahrous
• Mahwish Khurram Mdpa
• James Patrick Maiarana II, M.D.
• Maiden Choice Cardiac Diagnostic Center
• Maiden Choice Nuclear Imaging Center
• Main Healthcare LLC
• Main Street Pharmacy, LLC
• Benjamin Main, DO
• David N Maine, MD

• Dentist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.