Organization Active NPI

Emmitsburg Dental Center, LLC

  • Dental Clinic/Center
  • Emmitsburg, MD
National Provider Identifier
1669170221
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EMMITSBURG DENTAL CENTER, LLC
Practice address
101 S Seton Ave
Emmitsburg, MD 21727-9244
Phone
(301) 447-6662
Fax
(301) 447-6663
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Cynthia Knedeisen
Title
Receptionist
Phone
(301) 447-6662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

101 S Seton Ave
Emmitsburg, MD 21727-9244

Mailing address

PO Box 538
Emmitsburg, MD 21727-0538
Phone (301) 447-6662

Other names 1

  • Emmitsburg Dental Center Former legal business name

National Provider Directory

National Provider Directory

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": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1669170221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "EMMITSBURG",
            "state": "MD",
            "postal_code": "217270538",
            "telephone_number": "301-447-6662",
            "fax_number": "301-447-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SETON AVE",
            "city": "EMMITSBURG",
            "state": "MD",
            "postal_code": "217279244",
            "telephone_number": "301-447-6662",
            "fax_number": "301-447-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMITSBURG DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "KNEDEISEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "301-447-6662"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmitsburg Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Emmitsburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.