NPIMap

Organization Active NPI

Maryland Dental Associates LLC

Doing business as Boonsboro Dental Associates

  • Dentist
  • Boonsboro, MD
National Provider Identifier
1508513011
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARYLAND DENTAL ASSOCIATES LLC
Doing business as
Boonsboro Dental Associates
Practice address
20311 Lappans Rd Ste 103
Boonsboro, MD 21713-2085
Phone
(301) 432-6201
NPI assigned
Mar 4, 2022
Last updated
Mar 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MARYLAND DENTAL ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
R Patricia Hower
Title
Credentialing Specialist
Phone
(215) 798-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

20311 Lappans Rd Ste 103
Boonsboro, MD 21713-2085

Mailing address

PO Box 4008
Lancaster, PA 17604-4008

Other names 1

  • Boonsboro Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maryland Dental Associates LLC7 organizations share this tax ID, including this one
Part of
Maryland Dental Associates LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1508513011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4008",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176044008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 LAPPANS RD STE 103",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217132085",
            "telephone_number": "301-432-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND DENTAL ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYLAND DENTAL ASSOCIATES LLC",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "HOWER",
        "authorized_official_first_name": "R PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "215-798-4027"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boonsboro Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boonsboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.