Organization Active NPI

Columbia Prime Dental LLC

  • General Practice Dentistry
  • Elkridge, MD
National Provider Identifier
1720370737
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14156 Issued in MD
Legal business name
COLUMBIA PRIME DENTAL LLC
Practice address
6801 Douglas Legum Dr Ste C
Elkridge, MD 21075-6273
Phone
(410) 381-8283
Fax
(413) 254-5304
NPI assigned
May 9, 2011
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Ludmila Hristova Tchakarova, DDSNPI 1356677728
Title
DDS/Owner
Phone
(410) 381-8283

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14156 MD Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

6801 Douglas Legum Dr Ste C
Elkridge, MD 21075-6273

Mailing address

6801 Douglas Legum Dr
Elkridge, MD 21075-6273
Phone (410) 381-8283

Other identifiers 1

IdentifierTypeStateIssuer
027642100MedicaidMD

National Provider Directory

National Provider Directory

Locations

7060 Oakland Mills Rd
Ste J
Columbia, MD 21046
Phone (832) 415-4957

6801 Douglas Legum Dr
Elkridge, MD 21075
Phone (410) 799-0818

6801 Douglas Legum Dr
Ste C
Elkridge, MD 21075
Phone (410) 381-8283

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1720370737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DOUGLAS LEGUM DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756273",
            "telephone_number": "410-381-8283",
            "fax_number": "413-254-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 DOUGLAS LEGUM DR STE C",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756273",
            "telephone_number": "410-381-8283",
            "fax_number": "413-254-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA PRIME DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "TCHAKAROVA",
        "authorized_official_first_name": "LUDMILA",
        "authorized_official_middle_name": "HRISTOVA",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "410-381-8283",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14156",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027642100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.