Ijeoma Tagbo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

14004 Issued in MD

Practice address

8850 Columbia 100 Pkwy Ste 310
Columbia, MD 21045-2377

Phone

(860) 680-6119

NPI assigned

Mar 7, 2007

Sex

Female

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.

• Shore Family Dentistry LLC

  • Dental Clinic/Center
  • Columbia, MD
  • NPI 1922896646
  NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1841320942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 RESORT RD # 190",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422086",
            "telephone_number": "410-690-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 COLUMBIA 100 PKWY STE 310",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452377",
            "telephone_number": "860-680-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGBO",
        "first_name": "IJEOMA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Taboas
• Maureen Harkness Tabor, LCSW-C
• Janet Ilene Taddeo, CACAD
• Misrak Tadesse, MD
• Ariana Taffetani, MSN RN
• Anna Taiwo
• Nauzli Fatemeh Tajaddini
• Abdul Tak, M.D.
• Prisca Tendai Takundwa
• Rushi K Talati, MD, MBA

• Dentist in Columbia, MD
• Providers in Columbia, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.