Olde Mill Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MD7572 Issued in MD

Legal business name

OLDE MILL DENTAL INC

Practice address

495 Old Mill Rd
Ste C
Millersville, MD 21100-1044

Phone

(410) 982-9522

Fax

(410) 987-1767

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Robert Schuman, DDS

Title

President

Phone

(410) 982-9522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265441489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 OLD MILL RD",
            "address_2": "STE C",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211001044",
            "telephone_number": "410-982-9522",
            "fax_number": "410-987-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 OLD MILL RD",
            "address_2": "STE C",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211001044",
            "telephone_number": "410-982-9522",
            "fax_number": "410-987-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE MILL DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHUMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-982-9522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "MD7572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin K Oczkowski, LCSW-C
• Tammy Odenbaugh, LPN
• April Odendahl, OTRL
• Lilian Odera, PH.D.
• Oluwatoyin Ogunsola, LPN
• Lashandra C Oliver-Moshier, MS, LCPC
• Emily Jean Olsen
• Andy Orozco
• Orthopaedic and Sports Medicine Center LLC
• Orthopedic Physicians of Annapolis LLC

• General Practice Dentistry in Millersville, MD
• Providers in Millersville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.