Byrd Dental Health Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15650 Issued in MD

Legal business name

BYRD DENTAL HEALTH CENTER

Practice address

11045 Lincoln Ave
Hagerstown, MD 21740-7719

Phone

(301) 582-3010

NPI assigned

Aug 19, 2014

Last updated

Aug 19, 2014By 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

Mary Bowen

Title

Office Manager

Phone

(301) 582-3010

Specialties & licenses 1

Addresses

Tax ID family

Byrd Dental Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Byron K Byrd DDS PA

  • Dentist
  • Hagerstown, MD
  • NPI 1144322405
  NPD tax ID

Locations

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1659770303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 LINCOLN AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 LINCOLN AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407719",
            "telephone_number": "301-582-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRD DENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-582-3010"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey A. Butler, LCPC
• Fred L Bye, D.D.S, M.S.
• Catherine J Byers, LCPC
• Meghan Byers, DPT
• Stephanie Michelle Byers, PMHNP-BC
• Byron K Byrd, DDS
• Solanna Byrd, MS-CCC SLP
• Byron K Byrd DDS PA
• Alvaro Cabezas, MD
• Marty V Cairns, DC

• General Practice Dentistry in Hagerstown, MD
• Providers in Hagerstown, 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 Aug 19, 2014; 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.