Ambrose Jing-Hay To, D.D.S.
Individual provider Active NPI General Practice Dentistry · Damascus, MD
NPI 1902185127 · NPPES record last updated Aug 4, 2011
Key facts
- NPI
- 1902185127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12972 (MD)
- Practice address
- 9701 New Church St Ste 9
Damascus, MD 20872-2501 - Phone
- (301) 253-2174
- NPI assigned
- Aug 4, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12972 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12972 | MD | Yes |
Addresses
Primary practice location
9701 New Church St Ste 9
Damascus, MD 20872-2501
Mailing address
9701 New Church St Ste 9
Damascus, MD 20872-2501
Phone (301) 253-2174
Other providers in Damascus, MD
- Alexa Tanner
- Berhane Hafiso Teroro
- Nancy Thorner
- Mark Owens Thornton
- Evan Timberlake
- Elizabeth Tsakiris
- Kelly Ann Valceanu
- Michael Kimo Van Gieson
- Lyn Verna
- Visionary Eye Physicians - Damascus
All providers in Damascus, MD · General Practice Dentistry in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.