Organization Active NPI

Patil Dental Associates LLC

  • Dentist
  • Abingdon, MD
National Provider Identifier
1487049482
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13769 Issued in MD
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

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Dr. Sahana P Patil, DDSNPI 1639387715
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.