Jennifer Brotz, DMD
Individual provider Active NPI General Practice Dentistry · Chester, MD
NPI 1942748801 · NPPES record last updated May 3, 2022
Key facts
- NPI
- 1942748801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 16316 (MD)
- Practice address
- 22 Kent Town Market
Chester, MD 21619-2632 - Phone
- (410) 643-5500
- NPI assigned
- Feb 10, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 16316 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F.W.B. Dental LLC | General Practice | Current |
Accepting new patients |
| Billings & Murphy, D.D.S., P.a. | Past |
Accepting new patients |
Locations
22 Kent Town Market
Chester, MD 21619
Phone (410) 643-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 16316 | MD | Yes |
Addresses
Primary practice location
22 Kent Town Market
Chester, MD 21619-2632
Mailing address
22 Kent Town Market
Chester, MD 21619-2632
Phone (410) 643-5500
Other practice location 1
600 N Wolfe St
Suite 266 Blalock
Baltimore, MD 21287-0005
Phone (410) 955-2083
Other providers in Chester, MD
- Billings & Murphy, D.D.S., P.a.
- Scott Harrison Billings
- Christina Joy Blake
- Nancy Brandenburger
- Elaine Nicole Brennan
- Richard Davis Brown
- Sarah Callanan
- Cardiology Associates, LLC
- McKayla E Cartagena
- Centers for Advanced Orthopaedics, LLC
All providers in Chester, 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 May 3, 2022. 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.