First Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FIRST DENTAL

Practice address

5710 Bellona Ave Ste 101
Baltimore, MD 21212-3500

Phone

(410) 323-2875

NPI assigned

Aug 25, 2023

Last updated

Aug 25, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

FIRST DENTAL MARYLAND LLCAs reported in NPPES

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

Authorized official

Name

Suji Cha, DDSNPI 1649808346

Title

Owner

Phone

(410) 323-2875

Specialties & licenses 1

Addresses

Part of

First Dental

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suji Cha

  • Student in an Organized Health Care Education/Training Program
  • Bronx, NY
  • NPI 1649808346
  NPD Authorized official
• Eugene Jang, DDS

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1720560733
  NPD
• Eileen Kay Shannon, DDS

  • Dentist
  • Baltimore, MD
  • NPI 1932889995
  NPD

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1336924737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 BELLONA AVE STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123500",
            "telephone_number": "410-323-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 BELLONA AVE STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123500",
            "telephone_number": "410-323-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST DENTAL MARYLAND LLC",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "SUJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-323-2875",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• First Day LLC
• First Family Assisted Living, LLC (First Family Living)
• First Light Recovery Program Inc
• First Physical Therapy Network, Inc (Physical Therapy First)
• First Priority Ambulance
• First Responders Medical Care

• Dentist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.