Organization Active NPI

Barry W Dahl DMD PA

  • Dentist
  • Columbia, MD
National Provider Identifier
1730287186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5470 Issued in MD
Legal business name
BARRY W DAHL DMD PA
Practice address
10632 Little Patucent Pkwy
Ste 105
Columbia, MD 21044-6256
Phone
(410) 997-2020
Fax
(410) 997-2020
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barry Wayne Dahl, DMD
Title
President Dentist
Phone
(410) 997-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5470 MD Primary

Addresses

Primary practice location

10632 Little Patucent Pkwy
Ste 105
Columbia, MD 21044-6256

Mailing address

10632 Little Patuxent Pkwy
Ste 105
Columbia, MD 21044-6256
Phone (410) 997-2020

National Provider Directory

National Provider Directory

Locations

10632 Little Patuxent Pkwy
Ste 105
Columbia, MD 21044
Phone (410) 997-2020

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730287186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY",
            "address_2": "STE 105",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446256",
            "telephone_number": "410-997-2020",
            "fax_number": "410-997-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUCENT PKWY",
            "address_2": "STE 105",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446256",
            "telephone_number": "410-997-2020",
            "fax_number": "410-997-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY W DAHL DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "410-997-2020",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "5470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.