Westminster Family Dentistry, LLC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15147 Issued in MD

Legal business name

WESTMINSTER FAMILY DENTISTRY, LLC.

Practice address

115 Airport Dr
Suite 110
Westminster, MD 21157

Phone

(443) 244-9222

Fax

(410) 505-8921

NPI assigned

Aug 12, 2013

Organization subpart

No

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

Authorized official

Name

Anne Etzkorn, DDS

Title

Owner/Dentist

Phone

(443) 244-9222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1457784670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 AIRPORT DR",
            "address_2": "SUITE 110",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573056",
            "telephone_number": "443-244-9222",
            "fax_number": "410-505-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 AIRPORT DR",
            "address_2": "SUITE 110",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "443-244-9222",
            "fax_number": "410-505-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMINSTER FAMILY DENTISTRY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "ETZKORN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "443-244-9222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Westminster Family Vision Center, Inc.
• Westminster Fire Engine & Hose Co. No. 1, Inc
• Westminster Internal Medicine Association
• Westminster Nursing and Rehab Center LLC (Westminster Rehabilitation and Wellness Center)
• Westminster Pediatrics

• General Practice Dentistry in Westminster, MD
• Providers in Westminster, 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 12, 2013; 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.