Organization Active NPI

Elite Legacy Collective, LLC

Doing business as The Dental Loft at Perry Hall

  • Dental Clinic/Center
  • Nottingham, MD
National Provider Identifier
1548119092
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELITE LEGACY COLLECTIVE, LLC
Doing business as
The Dental Loft at Perry Hall
Practice address
9712 Belair Rd Ste 304
Nottingham, MD 21236-1113
Phone
(410) 538-2422
Fax
(410) 538-2944
NPI assigned
Jan 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Dr. Dana Truesdale, DDSNPI 1548239700
Title
Owner
Phone
(804) 614-8812

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9712 Belair Rd Ste 304
Nottingham, MD 21236-1113

Mailing address

9712 Belair Rd Ste 304
Nottingham, MD 21236-1113
Phone (410) 538-2422

Other names 1

  • The Dental Loft at Perry Hall Doing business as

National Provider Directory

National Provider Directory

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": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1548119092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE 304",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361113",
            "telephone_number": "410-538-2422",
            "fax_number": "410-538-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE 304",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361113",
            "telephone_number": "410-538-2422",
            "fax_number": "410-538-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE LEGACY COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "TRUESDALE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-614-8812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Loft at Perry Hall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.