Anderson Dental, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANDERSON DENTAL, PA

Practice address

5036 Dorsey Hall Dr Ste 105
Ellicott City, MD 21042-7890

Phone

(410) 992-1980

NPI assigned

Oct 22, 2021

Organization subpart

No

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

Authorized official

Name

Mary Anderson, DDSNPI 1457515298

Title

President

Phone

(443) 812-0856

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mary Katherine Anderson, DDS

  • Dentist
  • Ellicott City, MD
  • NPI 1457515298

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1780348144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 EVENING SHADOWS CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291543",
            "telephone_number": "443-812-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 DORSEY HALL DR STE 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427890",
            "telephone_number": "410-992-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-812-0856",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "14135",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohan Amlani, M.D.
• Heather Amos, CMT
• Amrhein Counseling LLC
• Michael Amrhein, PH.D.
• Ameya Umakant Amritwar, MD
• Brianna N Anderson, LCSW-C
• Desiree Lea Anderson, OTD, OTR/L
• Ellen Anderson, DPT
• Joshua Alan Anderson, MS, PA-C
• Mary Katherine Anderson, DDS

• General Practice Dentistry in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.