Individual provider Active NPI

Eunjoo Song Stringer, DMD

  • General Practice Dentistry
  • Frederick, MD
National Provider Identifier
1417237553
Registry record updated Aug 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15055 Issued in MD
Practice address
196 Thomas Johnson Dr
Suite 200
Frederick, MD 21702-4397
Phone
(301) 663-5550
Fax
(610) 706-4746
NPI assigned
Aug 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15055 MD Primary

Addresses

Primary practice location

196 Thomas Johnson Dr
Suite 200
Frederick, MD 21702-4397

Mailing address

9217 Charterhouse Rd
Frederick, MD 21704-7336
Phone (240) 457-4610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606001668 MD Practitioner - Dentist 4981077526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15055MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. E.J. Stringer, D.M.D., P.a. General Practice CurrentSince Apr 29, 2025 Accepting new patients
Maryland Anesthesiology Physicians Group Current Accepting new patients
Dr. Eunjoo Song Stringer DMD Past Accepting new patients
Maryland Sedation Dentistry and Surgical Center PastSince Feb 12, 2021 Accepting new patients

Locations

196 Thomas Johnson Dr
Ste 200
Frederick, MD 21702
Phone (301) 663-5550

60 Thomas Johnson Dr
Ste 1
Frederick, MD 21702
Phone (301) 663-5550

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313884800000",
    "number": "1417237553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 CHARTERHOUSE RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047336",
            "telephone_number": "240-457-4610",
            "fax_number": "610-706-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR",
            "address_2": "SUITE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024397",
            "telephone_number": "301-663-5550",
            "fax_number": "610-706-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRINGER",
        "first_name": "EUNJOO",
        "middle_name": "SONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-21",
        "last_updated": "2011-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.