Organization Active NPI

Maryland Dental Associates, LLC

Doing business as Doring DDS of Edgewater

  • Dentist
  • Edgewater, MD
National Provider Identifier
1841927712
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARYLAND DENTAL ASSOCIATES, LLC
Doing business as
Doring DDS of Edgewater
Practice address
3179 Braverton St Ste 100
Edgewater, MD 21037-2666
Phone
(410) 956-2505
NPI assigned
Aug 2, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MARYLAND DENTAL ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
R Patricia Hower
Title
Credentialing Specialist
Phone
(215) 798-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3179 Braverton St Ste 100
Edgewater, MD 21037-2666

Mailing address

3179 Braverton St Ste 100
Edgewater, MD 21037-2666

Other names 1

  • Doring DDS of Edgewater Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maryland Dental Associates LLC7 organizations share this tax ID, including this one
Part of
Maryland Dental Associates LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3179 Braverton St
Ste 100
Edgewater, MD 21037
Phone (410) 956-2505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1841927712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 BRAVERTON ST STE 100",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 BRAVERTON ST STE 100",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372666",
            "telephone_number": "410-956-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYLAND DENTAL ASSOCIATES, LLC",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "HOWER",
        "authorized_official_first_name": "R PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "215-798-4027"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doring DDS of Edgewater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgewater, MD

Sources for this page

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