George Xenakis, DDS, Maryland, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

15793 Issued in MD

Legal business name

GEORGE XENAKIS, DDS, MARYLAND, LLC

Doing business as

United Dental Group

Practice address

10035 Baltimore National Pike Ste 320
Ellicott City, MD 21042-3658

Phone

(301) 241-0123

Fax

(301) 241-0125

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. George Xenakis, D.D.S

Title

Owner

Phone

(212) 643-0927

Specialties & licenses 1

Addresses

Other names 1

• United Dental Group Doing business as

Locations

Practitioners 1

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.

• Eugene Jang, DDS

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1720560733
  NPD (past)

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1487029245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10035 BALTIMORE NATIONAL PIKE STE 320",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423658",
            "telephone_number": "301-241-0123",
            "fax_number": "301-241-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 BALTIMORE NATIONAL PIKE STE 320",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423658",
            "telephone_number": "301-241-0123",
            "fax_number": "301-241-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE XENAKIS, DDS, MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "XENAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-643-0927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "15793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Geier
• Emily Elizabeth Geise-Smith, CRNP
• Gabrielle Gelfen, OTD, OTR/L
• Tara Lynne Geller, MA., CCC-SLP
• Genesis Eldercare Rehab Services
• Ambili George
• Blessy George
• Debra A George
• Gerald George, P.T
• Jeannine Erika George, D.P.M.

• Dental Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.