Thomas J Fenlon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5942 Issued in MD

Practice address

12800 Frederick Rd
Suite 102
West Friendship, MD 21794-9564

Phone

(410) 442-2800

NPI assigned

Mar 16, 2007

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.

• Tom Fenlon DDS PC

  • Dentist
  • West Friendship, MD
  • NPI 1548638430
  NPD Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1801920129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 FREDERICK RD",
            "address_2": "PO BOX 340",
            "city": "WEST FRIENDSHIP",
            "state": "MD",
            "postal_code": "217949564",
            "telephone_number": "410-442-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 FREDERICK RD",
            "address_2": "SUITE 102",
            "city": "WEST FRIENDSHIP",
            "state": "MD",
            "postal_code": "217949564",
            "telephone_number": "410-442-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2465 Route 97 Ste 12",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "MD",
            "postal_code": "217389749",
            "country_code": "US",
            "telephone_number": "410-489-7565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENLON",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "5942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Besche, LCSW-C
• Shiza Fatima Bhatti
• Wendy Blackston, RPH
• Bloom Health LLC
• Afua A Bradley, RN
• Kathleen M. Green, P.T.
• Rizwan Lakhani, L. AC., M. AC.
• Maryland Autism Services, LLC
• Clark Raymond Mollenhoff III, M.AC., L.AC.
• Sandra M. Nettina, C.R.N.P.

• General Practice Dentistry in West Friendship, MD
• Providers in West Friendship, 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 Sep 28, 2022; 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.