Dodek & Dodek DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DODEK & DODEK DDS, LLC

Doing business as

Dodek Dental Group

Practice address

9881 Broken Land Pkwy Ste 102
Columbia, MD 21046-3010

Phone

(410) 381-1344

NPI assigned

Jan 22, 2021

Last updated

Jan 22, 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. Niki M. Dodek Gorman, DDS

Title

Managing Member/Co-Owner/Dentist

Phone

(410) 381-1344

Specialties & licenses 1

Addresses

Other names 1

• Dodek Dental Group Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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.

• Sydne Paige Smith, RDH

  • Dental Hygienist
  • Columbia, MD
  • NPI 1982478764
  NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1649860750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9881 BROKEN LAND PKWY STE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463010",
            "telephone_number": "410-381-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9881 BROKEN LAND PKWY STE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463010",
            "telephone_number": "410-381-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODEK & DODEK DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "NIKI M.",
        "authorized_official_middle_name": "DODEK",
        "authorized_official_title_or_position": "MANAGING MEMBER/CO-OWNER/DENTIST",
        "authorized_official_telephone_number": "410-381-1344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Columbia",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9881 Broken Land Pkwy Ste 102",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210463010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dodek Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doclinq LLC (Doclinq)
• Doctor Beams Medical Home
• Willie Dwayne Doctor Jr., LCSW-C
• Doctors First Professional Corporation
• Doctors First, LLC (First Medical Associates)
• Niki M Dodek, DDS
• Samuel M Dodek III, DDS
• Makayla Dodson
• Abigail M Doff, LMSW
• Lindsay Dokou, M.D.

• General Practice Dentistry in Columbia, MD
• Providers in Columbia, 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 Jan 22, 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.