Potomac Dental Centre P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

POTOMAC DENTAL CENTRE P.A.

Practice address

4 Cypress St
Hagerstown, MD 21742-3333

Phone

(301) 790-2007

Fax

(301) 790-0981

NPI assigned

Aug 31, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Everett Janney Eklund, DDSNPI 1982715108

Title

Owner

Phone

(301) 790-2007

Specialties & licenses 1

Addresses

Other names 1

• Potomac Dental Centre Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Everett J Eklund, DDS

  • General Practice Dentistry
  • Hagerstown, MD
  • NPI 1982715108
  NPD (past) Authorized official
• Arian Kohi, DDS

  • General Practice Dentistry
  • Hagerstown, MD
  • NPI 1417434762
  NPD (past)

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1457584005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CYPRESS ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423333",
            "telephone_number": "301-790-2007",
            "fax_number": "301-790-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CYPRESS ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423333",
            "telephone_number": "301-790-2007",
            "fax_number": "301-790-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC DENTAL CENTRE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "EKLUND",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "JANNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-790-2007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Dental Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Pope
• Richard Joseph Porac, D.D.S.
• Positive Pathways and Wellness Center
• Potomac Case Management Services, Inc.
• Potomac Case Management Services, Inc.
• Potomac Family Medicine
• Potomac Surgical Specialists, LLC
• Tanner Powell
• Tylea Powell
• Powerback Rehabilitation LLC

• General Practice Dentistry in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.