Mayo Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

13264 Issued in MD

Legal business name

MAYO DENTAL LLC

Practice address

55 Mayo Rd Ste 1
Edgewater, MD 21037-1805

Phone

(410) 956-6626

Fax

(877) 310-6316

NPI assigned

Jul 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Puneeta Keer, D.M.D.

Title

Dental Provider

Phone

(410) 956-6626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Puneeta Keer Other name

Locations

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1760760367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAYO RD STE 1",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371805",
            "telephone_number": "410-956-6626",
            "fax_number": "877-310-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAYO RD STE 1",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371805",
            "telephone_number": "410-956-6626",
            "fax_number": "877-310-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "KEER",
        "authorized_official_first_name": "PUNEETA",
        "authorized_official_title_or_position": "DENTAL PROVIDER",
        "authorized_official_telephone_number": "410-956-6626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "13264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012378100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puneeta Keer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maryland CVS Pharmacy LLC
• Maryland Dental Associates, LLC
• Meaghan Pare Massella, M.AC, L.AC
• Nicole Marie Masson, PA-C
• Sarah Renee Mayhew I, R.N.
• Sarah McClain, CRNP
• Ellen Rose McInerney, M. D.
• Heather J McMahan, OTR/L
• Kelly McNew, LCPC
• Brendon McQuighan, PHARMD

• Dental Clinic/Center in Edgewater, MD
• Providers in Edgewater, 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 Mar 14, 2013; 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.