NPIMap

Organization Active NPI

Alpha Dental Center

  • Dental Clinic/Center
  • Elkton, MD
National Provider Identifier
1639689201
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
16186 Issued in MD
Legal business name
ALPHA DENTAL CENTER
Practice address
300 E Pulaski Hwy Ste 102
Elkton, MD 21921-6737
Phone
(443) 207-8455
Fax
(443) 485-6584
NPI assigned
Oct 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Authorized official

Name
Navid Asgari, DMDNPI 1932329612
Title
President
Phone
(443) 207-8455

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 16186 MD Primary

Addresses

Primary practice location

300 E Pulaski Hwy Ste 102
Elkton, MD 21921-6737

Mailing address

300 E Pulaski Hwy Ste 102
Elkton, MD 21921-6737
Phone (443) 207-8455

National Provider Directory

National Provider Directory

Locations

300 E Pulaski Hwy
Ste 102
Elkton, MD 21921
Phone (410) 392-3333

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": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1639689201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E PULASKI HWY STE 102",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216737",
            "telephone_number": "443-207-8455",
            "fax_number": "443-485-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E PULASKI HWY STE 102",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216737",
            "telephone_number": "443-207-8455",
            "fax_number": "443-485-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "ASGARI",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-207-8455",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "16186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.