NPIMap

Organization Active NPI

Golden Key Dental ,LLC

  • Dental Clinic/Center
  • Clinton, MD
National Provider Identifier
1568855682
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12037 Issued in MD
Legal business name
GOLDEN KEY DENTAL ,LLC
Practice address
11910 Mary Catherine Dr
Clinton, MD 20735-1018
Phone
(240) 997-5007
Fax
(800) 605-0459
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Dr. Jeron Skerritt-RyanNPI 1114237211
Title
President
Phone
(240) 997-5007

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 12037 MD Primary

Addresses

Primary practice location

11910 Mary Catherine Dr
Clinton, MD 20735-1018

Mailing address

11910 Mary Catherine Dr
Clinton, MD 20735
Phone (240) 997-5007

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": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1568855682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 MARY CATHERINE DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "240-997-5007",
            "fax_number": "800-605-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 MARY CATHERINE DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351018",
            "telephone_number": "240-997-5007",
            "fax_number": "800-605-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN KEY DENTAL ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "SKERRITT-RYAN",
        "authorized_official_first_name": "JERON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-997-5007",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "12037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.