Corey Rollor, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

17724 Issued in MD

Practice address

22 W Padonia Rd Ste C244
Timonium, MD 21093-2237

Phone

(410) 261-4461

NPI assigned

Jun 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1831714740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD STE C244",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932237",
            "telephone_number": "410-261-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLOR",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17724",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "17724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Richardson, LCSW-C
• Chloe Farkas Riley
• George Faulkner Ritchie III, M.D.
• RLT Medical Associates Inc
• Virginia Ann Roberts, MSW, LCSW-C
• Christina Susan Romano, DPT, PT
• Jonathan William Rouse, DPT
• Sheldon D Rudin
• Jason Michael Rynes
• Safe Harbor Christian Counseling

• Endodontics in Timonium, MD
• Providers in Timonium, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.