Shore Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHORE FAMILY DENTISTRY LLC

Practice address

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

Phone

(443) 385-0285

Fax

(443) 385-0286

NPI assigned

Apr 30, 2025

Organization subpart

No

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

Authorized official

Name

Ijeoma Tagbo, DMDNPI 1841320942

Title

Member

Phone

(410) 725-8373

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Ijeoma Tagbo, DMD

  • Dentist
  • Columbia, MD
  • NPI 1841320942
  NPD Authorized official

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1922896646",
    "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": "410-725-8373"
        },
        {
            "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": "443-385-0285",
            "fax_number": "443-385-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "TAGBO",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-725-8373",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Navarro Shiver
• Mana Shoeybi, DDS
• Felicia Shokera, RN, BSN
• Christina Marie Shope
• Ruth Madeline Shor Jannati, LSW C
• Brandi Mil Short
• Kimberly A Short
• Paul Edward Short, PH.D.
• Shante Lenia Shorter
• Samantha Shrader

• Dental Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.