Individual provider Active NPI

Luke Coury, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Elkridge, MD
National Provider Identifier
1548753502
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
18515 Issued in MD
Practice address
6865 Deerpath Rd Ste 302
Elkridge, MD 21075-6254
Phone
(410) 796-3333
Fax
(410) 796-3375
NPI assigned
Jun 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 18515 MD Primary

Addresses

Primary practice location

6865 Deerpath Rd Ste 302
Elkridge, MD 21075-6254

Mailing address

6865 Deerpath Rd Ste 302
Elkridge, MD 21075-6254
Phone (410) 796-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212000038 MD Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 7113265463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18515MDMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery CurrentSince Sep 6, 2020 Accepting new patients
Richardson Center for Oral & Facial Surgery PC Oral and Maxillofacial Surgery Past Accepting new patients
Oralpath-Dentcare LLC PastSince Oct 1, 2023 Accepting new patients

Locations

2990 Eastern Blvd
York, PA 17402
Phone (717) 755-9695

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1548753502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6865 DEERPATH RD STE 302",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756254",
            "telephone_number": "410-796-3333",
            "fax_number": "410-796-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6865 DEERPATH RD STE 302",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756254",
            "telephone_number": "410-796-3333",
            "fax_number": "410-796-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURY",
        "first_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "18515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.