Organization Active NPI

David a Mugford DMD PA

  • Periodontics
  • Crofton, MD
National Provider Identifier
1508386772
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
11651 Issued in MD
Legal business name
DAVID A MUGFORD DMD PA
Doing business as
The Mugford Center
Practice address
1660 Village GRN # 104
Crofton, MD 21114-2033
Phone
(410) 721-7801
Fax
(410) 721-7802
NPI assigned
Jun 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David A Mugford, DMD PANPI 1588796353
Title
Owner/Dentist
Phone
(410) 721-7801

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 11651 MD Primary

Addresses

Primary practice location

1660 Village GRN # 104
Crofton, MD 21114-2033

Mailing address

1660 Village GRN # 104
Crofton, MD 21114-2033
Phone (410) 721-7801

Other names 1

  • The Mugford Center Doing business as

National Provider Directory

National Provider Directory

Locations

1660 Village Grn
Ste 104
Crofton, MD 21114
Phone (410) 721-7801

1660 Village Grn
#104
Crofton, MD 21114
Phone (410) 721-7801

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": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508386772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 VILLAGE GRN # 104",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142033",
            "telephone_number": "410-721-7801",
            "fax_number": "410-721-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 VILLAGE GRN # 104",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142033",
            "telephone_number": "410-721-7801",
            "fax_number": "410-721-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A MUGFORD DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MUGFORD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "410-721-7801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD PA"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "11651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mugford Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.