Baltimore City Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

15443 Issued in MD

Legal business name

BALTIMORE CITY DENTAL GROUP

Practice address

300 N Charles St
Ste D
Baltimore, MD 21201-4305

Phone

(410) 685-0002

Fax

(410) 244-5001

NPI assigned

Jan 10, 2017

Organization subpart

No

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

Authorized official

Name

Christin Damron

Title

Office Manager

Phone

(410) 353-2820

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1366988719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N CHARLES ST",
            "address_2": "STE D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014305",
            "telephone_number": "410-685-0002",
            "fax_number": "410-244-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N CHARLES ST",
            "address_2": "STE D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014305",
            "telephone_number": "410-685-0002",
            "fax_number": "410-244-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE CITY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "DAMRON",
        "authorized_official_first_name": "CHRISTIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-353-2820"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "15443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baltimore Child Abuse Center
• Baltimore Child Abuse Center
• Baltimore Child Abuse Center
• Baltimore Children'S Gad, LLC
• Baltimore Children'S Gad, LLC
• Baltimore City Health Department
• Baltimore City Health Start, LLC
• Baltimore City Healthy Start
• Baltimore City Healthy Start
• Baltimore City Pharmacy Inc

• 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 Jan 10, 2017; 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.