NPIMap

Organization Active NPI

Wooddell & Passaro Dental Group LLC

  • General Practice Dentistry
  • Davidsonville, MD
National Provider Identifier
1407020084
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7592 Issued in MD
Legal business name
WOODDELL & PASSARO DENTAL GROUP LLC
Practice address
3102 Davidsonville Road
Davidsonville, MD 21035
Phone
(410) 956-5555
Fax
(410) 798-5165
NPI assigned
Apr 15, 2008
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Joseph C Passaro, DDSNPI 1447274204
Title
Owner Dentist
Phone
(410) 956-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7592 MD Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7646 MD

Addresses

Primary practice location

3102 Davidsonville Road
Davidsonville, MD 21035

Mailing address

PO Box 364
Davidsonville, MD 21035
Phone (410) 956-5555

Other names 1

  • Davidsonville Dentistry LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1407020084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "21035",
            "telephone_number": "410-956-5555",
            "fax_number": "410-798-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 DAVIDSONVILLE ROAD",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "21035",
            "telephone_number": "410-956-5555",
            "fax_number": "410-798-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODDELL & PASSARO DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "PASSARO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "410-956-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7592",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidsonville Dentistry LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Davidsonville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.