Calvert Dentistry Moy P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CALVERT DENTISTRY MOY P.A.

Doing business as

Calvert Dentistry

Practice address

284 Merrimac CT
Prince Frederick, MD 20678-4133

Phone

(410) 535-2011

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Grundy

Title

Office Manager

Phone

(443) 926-2719

Specialties & licenses 2

Addresses

Other names 1

• Calvert Dentistry Doing business as

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1245910975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13942 BROMFIELD RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742293",
            "telephone_number": "301-250-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MERRIMAC CT",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784133",
            "telephone_number": "410-535-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT DENTISTRY MOY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "GRUNDY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "443-926-2719"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvert Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Calvert County Health Department
• Calvert County Nursing Center Inc
• Calvert County Public School
• Calvert County Public Schools
• Calvert Dental LLC
• Calvert Dermatology, LLC
• Calvert Digestive Disease Associates, Endoscopy and Surgery Center LLC
• Calvert Ear Nose & Throat Associates Inc
• Calvert Family Practice Associates, P.a.
• Calvert Health Ventures Inc

• Dentist in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.