Elkridge Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13421 Issued in MD

Legal business name

ELKRIDGE FAMILY DENTISTRY

Practice address

6325C Washington Blvd
Elkridge, MD 21075-5348

Phone

(410) 796-0020

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Jackson Babcock, DDSNPI 1386891323

Title

Owner

Phone

(410) 796-0020

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Patricia Jackson Babcock, DDS

  • General Practice Dentistry
  • Elkridge, MD
  • NPI 1386891323
  NPD (past) Authorized official
• Lynda Taylor Gaskill, RDH, BS

  • Dental Hygienist
  • Elkridge, MD
  • NPI 1154187417
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932227345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325-C WASHINGTON BLVD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755317",
            "telephone_number": "410-796-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325C WASHINGTON BLVD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755348",
            "telephone_number": "410-796-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKRIDGE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-796-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10130",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Olusola Ewebiyi, APRN

• General Practice Dentistry in Elkridge, MD
• Providers in Elkridge, 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 Aug 22, 2020; 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.