Tamatha Caudill Pantano, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14822 Issued in MD

Practice address

8918 Woodyard Rd
Clinton, MD 20735-4204

Phone

(301) 856-1222

Fax

(301) 856-1759

NPI assigned

Nov 29, 2010

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Audubon Dental Center of Clinton

  • General Practice Dentistry
  • Clinton, MD
  • NPI 1497393219
  NPD Authorized official

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1619279577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 WOODYARD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354204",
            "telephone_number": "301-856-1122",
            "fax_number": "301-856-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8918 WOODYARD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354204",
            "telephone_number": "301-856-1222",
            "fax_number": "301-856-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTANO",
        "first_name": "TAMATHA",
        "middle_name": "CAUDILL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8880",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paces, Inc (Powell and Associates Comprehensive Educational Services)
• Elizabeth Marie Page
• Jessica Lynn Palmer, MD
• Gela Pamukova, PA-C
• Angela Maryann Pansera, D.O.
• Michael John Papantones, ED.D.
• Hardik J Parekh
• Deborah Mitchell Parker, COTA/L
• Usha S Parker, CRNA
• Ruby Parkzes, CNP

• General Practice Dentistry in Clinton, MD
• Providers in Clinton, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.