Active NPI
Maryland Dental Associates LLC
- Dentist
- Middletown, MD
National Provider Identifier
1285389452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- MARYLAND DENTAL ASSOCIATES LLC
- Practice address
- 807 E Main St
Middletown, MD 21769-7722 - Phone
- (301) 293-6828
- NPI assigned
- Feb 16, 2022
- Last updated
- Feb 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- R Patricia Hower
- Title
- Credentialing Specialist
- Phone
- (215) 798-4027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
807 E Main St
Middletown, MD 21769-7722
Mailing address
603 N Broad St Ste 301
Woodbury, NJ 08096-1619
National Provider Directory
National Provider Directory- Tax ID family
- Maryland Dental Associates LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Gaithersburg Dental Associates
- Dentist
- Gaithersburg, MD
- NPI 1285381590
-
dba College Park Dental Associates
- Dentist
- College Park, MD
- NPI 1932856242
Locations
807 E Main St
Middletown, MD 21769
Phone (301) 293-6828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644969600000",
"number": "1285389452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 N BROAD ST STE 301",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 E MAIN ST",
"city": "MIDDLETOWN",
"state": "MD",
"postal_code": "217697722",
"telephone_number": "301-293-6828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYLAND DENTAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-16",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A",
"authorized_official_last_name": "HOWER",
"authorized_official_first_name": "R PATRICIA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "215-798-4027"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.