CPDG-Canton LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CPDG-CANTON LLC

Practice address

3904 Boston St Ste 104
Baltimore, MD 21224-5762

Phone

(410) 569-4300

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Hakan Koymen, DDS, MS

Title

President

Phone

(410) 979-4483

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1295599686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BOX HLL CORP CTR DR STE 120",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091290",
            "telephone_number": "410-569-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 BOSTON ST STE 104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245762",
            "telephone_number": "410-569-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPDG-CANTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "KOYMEN",
        "authorized_official_first_name": "HAKAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-979-4483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camila Coyne, DDS
• Liam Coyne, MD, PHD
• Mackenzie Lane Coyne
• Andrew Cozart, PT
• Julia Smith Cozart, PHD
• Cpe Clinic LLC
• Cpesn Maryland, Inc
• Brittany Crabill
• George Austin Crabill
• Amy Elizabeth Craft

• Pediatric Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.