Organization Active NPI

John E Angelou D D S PA

  • General Practice Dentistry
  • Odenton, MD
National Provider Identifier
1659599710
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10026 Issued in MD
Legal business name
JOHN E ANGELOU D D S PA
Practice address
1202 Annapolis Rd
Suite a
Odenton, MD 21113-1397
Phone
(410) 674-4724
Fax
(410) 551-4237
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Dr. John Evangelos Angelou, D.D.S.NPI 1548429095
Title
Dentist Owner
Phone
(410) 674-4724

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 10026 MD Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1202 Annapolis Rd
Suite a
Odenton, MD 21113-1397

Mailing address

1202 Annapolis Rd
Suite a
Odenton, MD 21113-1397
Phone (410) 674-4724

Other names 1

  • Angelou Dental Former legal business name

National Provider Directory

National Provider Directory

Locations

1202 Annapolis Rd
Ste A
Odenton, MD 21113
Phone (410) 674-4724

Practitioners & affiliated clinicians

Practitioners 2

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1659599710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 ANNAPOLIS RD",
            "address_2": "SUITE A",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131397",
            "telephone_number": "410-674-4724",
            "fax_number": "410-551-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 ANNAPOLIS RD",
            "address_2": "SUITE A",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131397",
            "telephone_number": "410-674-4724",
            "fax_number": "410-551-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E ANGELOU D D S PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "ANGELOU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EVANGELOS",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "410-674-4724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10026",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelou Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Angelou Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.