Justin Paul Collins, DDS, MBS

Primary specialty

DentistTaxonomy code 122300000X

License

17783 Issued in MD

Practice address

2412 N Salisbury Blvd Ste a
Salisbury, MD 21801-2399

Phone

(443) 210-3398

NPI assigned

Feb 15, 2022

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

Locations

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.

• SG Dental Services LLC

  • General Practice Dentistry
  • Salisbury, MD
  • NPI 1063234946
  NPD

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1740935147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N SALISBURY BLVD STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N SALISBURY BLVD STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012399",
            "telephone_number": "443-210-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JUSTIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS, MBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kevin Collier Jr., LMSW
• Ashley Lynne Collins, DPT
• Beth Liane Collins, APRN
• Danielle Elisha Collins, LCSW-C
• John David Collins, LCSW-C, C-ASWCM, MSW
• Marina Collins, CRNP
• Sydney Ranee Collins, LMSW
• Teresa A Collins
• Tonya Combs
• Community Behavioral Health LLC

• Dentist in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.