Individual provider Active NPI

Jeffery Brent Price, D.D.S., M.S.

  • Oral and Maxillofacial Radiology Dentistry
  • Baltimore, MD
National Provider Identifier
1669486536
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
15505 Issued in MD
Practice address
650 W Baltimore St RM 5201
Baltimore, MD 21201-1510
Phone
(410) 706-5264
Fax
(410) 706-3965
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology Dentistry 1223X0008X 15505 MD Primary

Addresses

Primary practice location

650 W Baltimore St RM 5201
Baltimore, MD 21201-1510

Mailing address

650 W Baltimore St RM 5201
Baltimore, MD 21201-1510
Phone (410) 706-5264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260110000219 MD Practitioner - Oral and Maxillofacial Radiology 0446736367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral and Maxillofacial Radiology
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

650 W Baltimore St
Baltimore, MD 21201-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15505MDMDOral and Maxillofacial Radiology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
U M FDSP Associates PA CurrentSince Dec 3, 2025 Accepting new patients
Oral Medicine Consultants CurrentSince Dec 3, 2025 Accepting new patients

Locations

650 W Baltimore St
Rm 5201
Baltimore, MD 21201
Phone (410) 706-7063

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1669486536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST RM 5201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510",
            "telephone_number": "410-706-5264",
            "fax_number": "410-706-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST RM 5201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510",
            "telephone_number": "410-706-5264",
            "fax_number": "410-706-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JEFFERY",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "MD",
            "license": "15505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.