Ebonee M Thrower, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

14399 Issued in MD

Practice address

10201 Martin Luther King Jr Hwy
Suite 240a
Bowie, MD 20720-4220

Phone

(240) 764-5753

Fax

(240) 764-5799

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ebonee M Starr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Bright Starr Pediatric Dentistry, LLC

  • Dental Clinic/Center
  • Bowie, MD
  • NPI 1568113082
  NPD Authorized official

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1710187935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 MARTIN LUTHER KING JR HWY",
            "address_2": "SUITE 240A",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204220",
            "telephone_number": "240-764-5753",
            "fax_number": "240-764-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 MARTIN LUTHER KING JR HWY",
            "address_2": "SUITE 240A",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204220",
            "telephone_number": "240-764-5753",
            "fax_number": "240-764-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THROWER",
        "first_name": "EBONEE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "14399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONEE",
            "last_name": "STARR",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pediatric Dentistry in Bowie, MD
• Providers in Bowie, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.