NPIMap

Carroll County Dental Specialists

Organization Active NPI General Practice Dentistry · Finksburg, MD

NPI 1891418802 · NPPES record last updated Sep 23, 2022

Key facts

NPI
1891418802
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
CARROLL COUNTY DENTAL SPECIALISTS
Practice address
2029 Suffolk Road
Suite B
Finksburg, MD 21048
Phone
(410) 861-3001
NPI assigned
Sep 23, 2022
Organization subpart
No

Authorized official

Name
Dr. Marshall Wesley Fesche, DDS
Title
Owner
Phone
(410) 935-8016

Corporate family (same tax ID) 3

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

Practitioners 3

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

National Provider Directory

Tax ID family
Dental Associates LLC (4 organizations share this tax ID)

Locations

2029 Suffolk Rd
#B
Finksburg, MD 21048
Phone (410) 861-3001

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

2029 Suffolk Road
Suite B
Finksburg, MD 21048

Mailing address

1302 Musgrove Road
Lutherville, MD 21093
Phone (410) 935-8016

Other providers in Finksburg, MD

All providers in Finksburg, MD · General Practice Dentistry in Maryland

Sources for this page

Verify at the official NPI Registry.