Central Maryland Endodontics, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

CENTRAL MARYLAND ENDODONTICS, LLC

Doing business as

Access Endodontics

Practice address

5058 Dorsey Hall Dr Ste 102
Ellicott City, MD 21042-7850

Phone

(410) 304-7226

NPI assigned

Oct 22, 2021

Last updated

Oct 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Gallagher

Title

Administrator

Phone

(240) 755-0167

Specialties & licenses 1

Addresses

Other names 1

• Access Endodontics Doing business as

Locations

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1497419832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 BROKEN LAND PKWY STE 107",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463059",
            "telephone_number": "240-755-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5058 DORSEY HALL DR STE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427850",
            "telephone_number": "410-304-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MARYLAND ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-755-0167"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endodontics in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.