NPIMap

Organization Active NPI

Freedom Dental Care

  • Dentist
  • Eldersburg, MD
National Provider Identifier
1720359078
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14198 Issued in MD
Legal business name
FREEDOM DENTAL CARE
Practice address
6300 Georgetown Blvd
Store No 135
Eldersburg, MD 21784-6481
Phone
(410) 977-1423
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Julia BurchettNPI 1154587251
Title
Dentist
Phone
(410) 977-1423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14198 MD Primary

Addresses

Primary practice location

6300 Georgetown Blvd
Store No 135
Eldersburg, MD 21784-6481

Mailing address

6300 Georgetown Blvd
Store No 135
Eldersburg, MD 21784-6481

National Provider Directory

National Provider Directory

Locations

6300 Georgetown Blvd
Ste 135
Eldersburg, MD 21784
Phone (410) 977-1423

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1720359078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 GEORGETOWN BLVD",
            "address_2": "STORE NO 135",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 GEORGETOWN BLVD",
            "address_2": "STORE NO 135",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846481",
            "telephone_number": "410-977-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "BURCHETT",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-977-1423"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "14198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.