Front Row Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FRONT ROW PEDIATRIC DENTISTRY, LLC

Practice address

5084 Dorsey Hall Dr Ste 205
Ellicott City, MD 21042-7893

Phone

(443) 391-9191

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By 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. Sandra Selnick

Title

Owner

Phone

(443) 391-9191

Specialties & licenses 1

Addresses

Other names 1

• Front Row Other name

Locations

Practitioners 2

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.

• Hai Ngo, DMD

  • Pediatric Dentistry
  • Silver Spring, MD
  • NPI 1588257240
  NPD
• Justin Gervais Milo, DDS

  • Pediatric Dentistry
  • Rockville, MD
  • NPI 1689298606
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1619647443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5084 DORSEY HALL DR STE 205",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427893",
            "telephone_number": "443-391-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 DORSEY HALL DR STE 205",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427893",
            "telephone_number": "443-391-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT ROW PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "SELNICK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-391-9191",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Front Row",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mikaela Frazier, DMD
• Timothy Sherman-Whiten Frazier, M.D.
• Elizabeth Susan Frederick, M.A.
• Angela Freitag
• Ashlee G Freter
• Catherine Frost
• Maria Christina Balabag Fucanan, PT
• Brook Alexis Fulton-Delong, LCPC, NCC
• Emily Wareheim Fultz, RDN, LDN
• Hannah Elizabeth Furlow, LGPC

• Pediatric Dentistry in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.