Dentist in Edgewater LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTIST IN EDGEWATER LLC

Practice address

15 Lee Airpark Dr Ste 100
Edgewater, MD 21037-1239

Phone

(803) 830-6881

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

Sreekanth Reddy Emani, DDS

Title

Member

Phone

(803) 830-6881

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sharnjot Kaur Nibber, DMD

  • Dentist
  • Edgewater, MD
  • NPI 1598501025
  NPD

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1831944149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LEE AIRPARK DR STE 100",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371239",
            "telephone_number": "443-334-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LEE AIRPARK DR STE 100",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371239",
            "telephone_number": "803-830-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST IN EDGEWATER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "EMANI",
        "authorized_official_first_name": "SREEKANTH",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "803-830-6881",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D & G Eye Associates, LLC
• Anthony Robert Daly
• Lich Dang
• Ericka Regino Dargahi, PT, DPT
• Catherine Marie Davis
• Carol Dickerson
• Rosanne Marie Dimaggio, LPN
• Melissa Smith Dittrich, M.D.
• Mary Doerschner
• Kevin Richard Doring, DDS

• General Practice Dentistry in Edgewater, MD
• Providers in Edgewater, 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 May 10, 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.