Myrnelle Damas, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

16295 Issued in MD

Practice address

5009 Honeygo Center Dr Ste 228
Perry Hall, MD 21128-9842

Phone

(410) 248-3384

NPI assigned

Jun 9, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdamas830063@direct.umm.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MD Pediatric Dentistry LLC

  dba MidShore Pediatric Dentistry

  • Dental Clinic/Center
  • Easton, MD
  • NPI 1932838588
  NPD Authorized official
• CPDG-DD, LLC

  • Pediatric Dentistry
  • Dundalk, MD
  • NPI 1962167510
  NPD
• Chesapeake Pediatric Dental Group Inc

  • Pediatric Dentistry
  • Perry Hall, MD
  • NPI 1851520886
  NPD (past)

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245524073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 HONEYGO CENTER DR",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289828",
            "telephone_number": "410-248-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 HONEYGO CENTER DR STE 228",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289842",
            "telephone_number": "410-248-3384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 Grand Concourse Apt 2F",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104575526",
            "country_code": "US",
            "telephone_number": "718-901-8110",
            "fax_number": "718-901-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMAS",
        "first_name": "MYRNELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16295",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lawson Clements, MSW, LCSW-C
• James Coles II, LCSW-C
• Jeffrey A. Cool, M.D.
• Anthony Tanner Crisafulli
• Molly Cruse, RN
• Sara Daugherty, M.S. BCBA
• Frank P Dawson IV, MD
• Designed to Birth, LLC
• Crystal Dixon-Baskerville, PHARMD
• Renny A Drinks, PSY.D

• Pediatric Dentistry in Perry Hall, MD
• Providers in Perry Hall, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.