Organization Active NPI

Multident Center Inc

  • Dental Clinic/Center
  • Annapolis, MD
National Provider Identifier
1306164165
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
14337 Issued in MD
Legal business name
MULTIDENT CENTER INC
Practice address
700 Melvin Ave Ste 2
Annapolis, MD 21401-1506
Phone
(410) 280-5013
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Jung Soo Pak, MD
Title
Dentist
Phone
(410) 280-5013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 14337 MD Primary

Addresses

Primary practice location

700 Melvin Ave Ste 2
Annapolis, MD 21401-1506

Mailing address

700 Melvin Ave Ste 2
Annapolis, MD 21401-1506

National Provider Directory

National Provider Directory

Locations

700 Melvin Ave
Ste 2
Annapolis, MD 21401
Phone (410) 280-5013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1306164165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MELVIN AVE STE 2",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MELVIN AVE STE 2",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011506",
            "telephone_number": "410-280-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTIDENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-280-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "14337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.