Driscoll Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DRISCOLL FAMILY DENTAL LLC

Practice address

8556 Fort Smallwood Rd Ste B
Pasadena, MD 21122-2634

Phone

(410) 360-5116

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Terrie Driscoll, DDSNPI 1871730309

Title

Dentist

Phone

(410) 707-2121

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Terrie Leigh Driscoll, D.D.S.

  • Dentist
  • Gambrills, MD
  • NPI 1871730309
  NPD Authorized official
• Abigail Disman

  • General Practice Dentistry
  • Pasadena, MD
  • NPI 1033902499
  NPD
• Joel S. Sachs, D.D.S.

  • General Practice Dentistry
  • Pasadena, MD
  • NPI 1760509145
  NPD (past)

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1730922022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EPPING WAY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8556 FORT SMALLWOOD RD STE B",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222634",
            "telephone_number": "410-360-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRISCOLL FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-707-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Dougherty-Taylor, LMSW
• Allison Doyle, FNP-C
• Doza Behavioral Health Services LLC
• Abdul Ceesay Doza, CRNP-PMH
• Gary M. Drake, M.D.
• Pamela Jean Dubis, R.N.
• Olivia Dungan
• Vivian Ndirika Duru, PA
• Dva Healthcare of Maryland LLC (Pasadena Dialysis)
• Allison Mary Dwan-Wright, R.N.

• Dental Clinic/Center in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.