Hosen Elabdola, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17163 Issued in MD

Practice address

1401 Merritt Blvd
Dundalk, MD 21222-2140

Phone

(443) 407-1787

NPI assigned

Oct 9, 2019

Last updated

Oct 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1619519733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 YORK MILLS CT",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282548",
            "telephone_number": "904-235-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MERRITT BLVD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222140",
            "telephone_number": "443-407-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELABDOLA",
        "first_name": "HOSEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Nicole Dunnigan
• Dva Healthcare of Maryland LLC (Dundalk Dialysis)
• Brittany Ann Easter, NP
• Edward Silverman DDS and Associates P.a. (Northpoint Dental Associates)
• Lilian Ekwutife
• Timia Rochelle Eleazer Harris
• Tonye Ogechi Eluchie, M.D.
• Emma Galvan, DDS, P.C.
• Epec Clinic LLC
• Maria Lourdes Evangelista, CRNP-FAMILY

• General Practice Dentistry in Dundalk, MD
• Providers in Dundalk, 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 Oct 9, 2019; 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.