Landmark Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

16613 Issued in MD

Legal business name

LANDMARK DENTAL LLC

Practice address

122 N Philadelphia Blvd
Aberdeen, MD 21001-2513

Phone

(443) 345-1246

Fax

(443) 345-1248

NPI assigned

Apr 3, 2018

Organization subpart

No

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

Authorized official

Name

Ali Khayyer, DDS

Title

Owner

Phone

(703) 300-6503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1346746989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N PHILADELPHIA BLVD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N PHILADELPHIA BLVD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012513",
            "telephone_number": "443-345-1246",
            "fax_number": "443-345-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "KHAYYER",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-300-6503",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "16613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nia Latimer, LMSW
• Nikita Cox Laws, EDD
• Tracy A. Lazarony-Rudd, PA-C
• Michelle Anne Lehew, LCSW-C

• Dental Clinic/Center in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.