Lisa M. Valentine, D.D.S LLC

Primary specialty

DentistTaxonomy code 122300000X

License

12365 Issued in MD

Legal business name

LISA M. VALENTINE, D.D.S LLC

Practice address

1111 Park Ave
Suite L-109
Baltimore, MD 21201-5656

Phone

(410) 383-7070

Fax

(410) 383-7070

NPI assigned

Apr 4, 2008

Last updated

Apr 4, 2008By 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

Dr. Lisa Marie Valentine, D.D.S

Title

Owner

Phone

(410) 383-7070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana Aubert Truesdale, DDS

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1548239700
  NPD (past)

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1518130046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PARK AVE",
            "address_2": "SUITE L-109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015656",
            "telephone_number": "410-383-7070",
            "fax_number": "410-383-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PARK AVE",
            "address_2": "SUITE L-109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015656",
            "telephone_number": "410-383-7070",
            "fax_number": "410-383-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. VALENTINE, D.D.S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-383-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Richard Lipson
• Marc Bruce Lipton, PH.D., M.P.A.
• Susan V Lipton, M.D.
• Lisa Crear Carrier LCSW-C, Advanced Grief Recovery Method Specialist
• Lisa H. Kornberg, LLC
• Lisa T Williams PC
• Laura Lisak
• Jessie Rose Lish, PHARMD
• David Lisle, M.D.
• Amy Liss Liss, OTR/L

• Dentist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.