NPIMap

Organization Active NPI

Wendy Daulat, DDS LLC

  • Dental Clinic/Center
  • Glenelg, MD
National Provider Identifier
1265257729
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WENDY DAULAT, DDS LLC
Practice address
4149 Sharp Rd
Glenelg, MD 21737-9526
Phone
(443) 398-5911
Fax
(410) 988-3211
NPI assigned
Nov 20, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Wendy Daulat, DDSNPI 1477619450
Title
Owner Pediatric Dentist
Phone
(443) 398-5911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4149 Sharp Rd
Glenelg, MD 21737-9526

Mailing address

4149 Sharp Rd
Glenelg, MD 21737-9526
Phone (443) 398-5911

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1265257729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 SHARP RD",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217379526",
            "telephone_number": "443-398-5911",
            "fax_number": "410-988-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 SHARP RD",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217379526",
            "telephone_number": "443-398-5911",
            "fax_number": "410-988-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY DAULAT, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "DAULAT",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "443-398-5911",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenelg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.