Garrett William Tom, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18023 Issued in MD

Practice address

6100 Daylong LN Ste 204
Clarksville, MD 21029-1655

Phone

(667) 200-5912

NPI assigned

Jun 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hodiah DMD LLC

  • Dentist
  • Clarksville, MD
  • NPI 1861057044
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1710662218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CAMBRA RD",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 DAYLONG LN STE 204",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291655",
            "telephone_number": "667-200-5912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2507 N Point Rd",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212221605",
            "country_code": "US",
            "telephone_number": "410-284-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOM",
        "first_name": "GARRETT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ruth Taddei, M.S., CCC-SLP
• Ross E Taubman, D.P.M.
• Teresa Heitzmann, MSPT, LLC
• The Family Garden LLC
• Thet Thuzar, DDS
• TPH Industries LLC
• Elaine Trogdon, M.D.
• Kevin R Turner, L.AC.
• Aaron Raymond Twigg, M.D.
• Kelsey Tyson

• General Practice Dentistry in Clarksville, MD
• Providers in Clarksville, 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 Jun 21, 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.