Pediatric Dentistry of Southern Maryland

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7353 Issued in MD

Legal business name

PEDIATRIC DENTISTRY OF SOUTHERN MARYLAND

Practice address

29795 Three Notch Road
Charlotte Hall, MD 20622

Phone

(301) 290-0001

Fax

(301) 290-5633

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Garner D Morgan, D.D.S.

Title

Owner

Phone

(301) 290-0001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1376714121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29795 THREE NOTCH ROAD",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "20622",
            "telephone_number": "301-290-0001",
            "fax_number": "301-290-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29795 THREE NOTCH ROAD",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "20622",
            "telephone_number": "301-290-0001",
            "fax_number": "301-290-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF SOUTHERN MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "GARNER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-290-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "7353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuc Tri Nguyen, D.C.
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• Elizabeth Morison Orff, LMSW
• Tara Ann Parsons, PT, DPT, PCS
• Breanne Elaine Peed, CRNP
• Maryrebecca Miller Pinckney, LCSW-C
• Patricia Plumer, CRNP
• Pruitthealth Pharmacy Services - Charlotte Hall, Inc
• Pruitthealth Pharmacy Services - Charlotte Hall, Inc.

• Pediatric Dentistry in Charlotte Hall, MD
• Providers in Charlotte Hall, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.