Eldersburg Dental Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14477 Issued in MD

Legal business name

ELDERSBURG DENTAL GROUP, LLC

Practice address

1020 Liberty Rd Ste 100
Eldersburg, MD 21784-7923

Phone

(410) 795-8040

NPI assigned

Sep 29, 2016

Last updated

Sep 29, 2016By 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. Alexander Euncho Cho, D.D.S.

Title

Owner

Phone

(410) 795-8040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1679022834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LIBERTY RD STE 100",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847923",
            "telephone_number": "410-795-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LIBERTY RD STE 100",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847923",
            "telephone_number": "410-795-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERSBURG DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "EUNCHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-795-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Brooke Eckstein
• Gwendoline Takor Egbe
• Julie Egleston
• Andrea Eiblum
• Eldersburg Arthritis LLC
• Eldersburg Eye Care, LLC
• Eldersburg Family Denistry
• Eldersburg Optometry, LLC (Myeyedr)
• Eldersburg Surgery Center
• Elevate Premier Support Inc

• General Practice Dentistry in Eldersburg, MD
• Providers in Eldersburg, 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 Sep 29, 2016; 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.