Mariella Pascale Dragon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

19125 Issued in NY

Practice address

820 Suffolk Ave
Brentwood, NY 11717-4498

Phone

(631) 231-5566

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Pascale Mariella Dragon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Dental of Baltimore LLC

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1528626447
  NPD (past)
• Healthy Dental of Windsor Mill LLC

  • Dentist
  • Windsor Mill, MD
  • NPI 1508305228
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1336836923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115900076",
            "telephone_number": "516-574-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174498",
            "telephone_number": "631-231-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 W Patapsco Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212302946",
            "country_code": "US",
            "telephone_number": "410-888-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8063 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Windsor Mill",
            "state": "MD",
            "postal_code": "212442966",
            "country_code": "US",
            "telephone_number": "410-995-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAGON",
        "first_name": "MARIELLA",
        "middle_name": "PASCALE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "19125",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "19125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PASCALE",
            "last_name": "DRAGON",
            "middle_name": "MARIELLA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Diprisco Jr., RN, BSN
• Robert Charles Doht, D.D.S.
• Sarita K Dorschug
• Barry Maurice Downing, SLP
• Dr. Maria Khurshid MD PC
• Mayra Dross, REGISTERED NURSE
• Caitlin Duddy, LMSW
• Dunderty Enterprise LLC
• Dunderty Enterprise LLC.
• Linda Dupuis Rollock, LMSW

• Dentist in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.