Eastern Shore Endodontics, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10556 Issued in MD

Legal business name

EASTERN SHORE ENDODONTICS, P.A.

Practice address

1411 Wesley Dr
Salisbury, MD 21801-7130

Phone

(410) 742-7007

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By 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. Bartley Thomas Quillin, D.D.S.NPI 1013039692

Title

Owner

Phone

(410) 742-7007

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Bartley Thomas Quillin, D.D.S.

  • Endodontics
  • Salisbury, MD
  • NPI 1013039692
  NPD (past) Authorized official
• Donald Marcus Forno, D.D.S.

  • Endodontics
  • Salisbury, MD
  • NPI 1992920433
  NPD (past)
• Young Sun Lee, DMD

  • Endodontics
  • Silver Spring, MD
  • NPI 1659460467
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558400747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 WESLEY DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017130",
            "telephone_number": "410-742-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WESLEY DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017130",
            "telephone_number": "410-742-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE ENDODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUILLIN",
        "authorized_official_first_name": "BARTLEY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-742-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "10556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Suzanne East, PA-C
• Easter Seals Delaware & Maryland's Eastern Shore
• Eastern Shore Cardiovascular Assoc. P.a.
• Eastern Shore Counseling Associates, Inc. (Caounseling Associates)
• Eastern Shore Eldercare LLC
• Eastern Shore ENT & Allergy
• Eastern Shore Internist LLC
• Eastern Shore Medical Center Mental Health & Wellness, LLC
• Eastern Shore Medical Center PA
• Eastern Shore Orthopaedics

• Dental Clinic/Center in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.