Eric Endres, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042352 Issued in PA

Practice address

3905 National Dr Ste 170
Burtonsville, MD 20866-6102

Phone

(301) 989-0088

NPI assigned

Oct 22, 2018

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

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.

• Eric a Endres DDS LLC

  • Dental Clinic/Center
  • Burtonsville, MD
  • NPI 1528991320
  NPD Authorized official
• Enhance Dental- Millcreek, LLC

  • Dental Clinic/Center
  • Midvale, UT
  • NPI 1215505201
  NPD (past)
• Kim C Sykora DDS

  • General Practice Dentistry
  • West Chester, PA
  • NPI 1316839723
  NPD (past)

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1861968430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 170",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666102",
            "telephone_number": "301-989-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 170",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666102",
            "telephone_number": "301-989-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3798 700 E #6",
            "address_purpose": "LOCATION",
            "city": "South Salt Lake",
            "state": "UT",
            "postal_code": "84106",
            "country_code": "US",
            "telephone_number": "801-747-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 E 500 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841022707",
            "country_code": "US",
            "telephone_number": "801-747-8018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 E Gay St Ste 3",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804567",
            "country_code": "US",
            "telephone_number": "610-696-9119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDRES",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11013555-9921",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celestine Ekeh
• Kanle Ekue
• Elrohi Transportation
• Elizabeth Mary Emen, LCPC
• Elise Tigani Endres, DDS
• Eric a Endres DDS LLC
• Chinenye Ogo Esoro, RPH
• John Robert Evans, DDS
• Excellence Care Rehab&Nursing Services Inc
• Nnenna Joyce Eyiba, RN

• General Practice Dentistry in Burtonsville, MD
• Providers in Burtonsville, 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 Jan 5, 2021; 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.