Active NPI
Patil Dental Associates LLC
- Dentist
- Abingdon, MD
National Provider Identifier
1487049482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13769
- Legal business name
- PATIL DENTAL ASSOCIATES LLC
- Practice address
- 3004 Emmorton Rd Ste 400
Abingdon, MD 21009-2024 - Phone
- (410) 569-7900
- Fax
- (410) 515-5694
- NPI assigned
- Apr 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sahana P Patil, DDS
- Title
- President
- Phone
- (410) 569-7900
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13769 | MD | Primary |
Addresses
Primary practice location
3004 Emmorton Rd Ste 400
Abingdon, MD 21009-2024
Mailing address
3004 Emmorton Rd Ste 400
Abingdon, MD 21009-2024
Phone (410) 569-7900
Other names 1
- Family Dentistry
National Provider Directory
National Provider DirectoryLocations
3004 Emmorton Rd
#400
Abingdon, MD 21009
Phone (410) 569-7900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Abingdon, MD
- NPI 1639387715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442361600000",
"number": "1487049482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3004 EMMORTON RD STE 400",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210092024",
"telephone_number": "410-569-7900",
"fax_number": "410-515-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 EMMORTON RD STE 400",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210092024",
"telephone_number": "410-569-7900",
"fax_number": "410-515-5694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIL DENTAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-06",
"last_updated": "2015-09-16",
"status": "A",
"authorized_official_last_name": "PATIL",
"authorized_official_first_name": "SAHANA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-569-7900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MD",
"license": "13769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Dentistry",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Abingdon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.