Integrative Dental Wellness

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

INTEGRATIVE DENTAL WELLNESS

Practice address

1330 Liberty Rd Ste C
Eldersburg, MD 21784-5319

Phone

(443) 776-1836

NPI assigned

Jul 29, 2021

Last updated

Jul 29, 2021By 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. Kelly-Marie Thi Betts, DDS

Title

Dentist/Owner

Phone

(443) 776-1836

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Louis M Gorman, D.D.S

  • General Practice Dentistry
  • Eldersburg, MD
  • NPI 1912053661
  NPD
• Colin John Stanhope, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Wilmington, NC
  • NPI 1679093603
  NPD (past)

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1699448217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LIBERTY RD STE C",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217845319",
            "telephone_number": "443-776-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LIBERTY RD STE C",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217845319",
            "telephone_number": "443-776-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE DENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "KELLY-MARIE",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "443-776-1836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Impact Dui, Ilc (Right Turn Impact)
• Impact Dui, LLC. (Right Turn)
• Impact Dui, LLC. (Right Turn)
• Impact Dui, LLC. (Right Turn)
• Integrative Care LLC
• Hamid Reza Janloo, DDS PHD
• Jasthi-Park & Associates
• Johanne Jean-Baptiste
• Johns Hopkins Community Physicians (JHCP - 5961 Exchange Dr)
• Johns Hopkins Community Physicians, Inc (JHCP - 5961 Exchange Dr Ste 108 - Provider Type: 20 - Physcian)

• Dental Clinic/Center in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.