Active NPI
Arnold Jay Slutskin, DDS
- Dentist
- Gambrills, MD
National Provider Identifier
1952461790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4847
- Practice address
- 1438 Defense Highway
Crofton Medical Arts Building Suite 101
Gambrills, MD 21054 - Phone
- (410) 721-3567
- Fax
- (410) 721-3589
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4847 | MD | Primary |
Addresses
Primary practice location
1438 Defense Highway
Crofton Medical Arts Building Suite 101
Gambrills, MD 21054
Mailing address
1438 Defense Highway
Crofton Medical Arts Building Suite 101
Gambrills, MD 21054
Phone (410) 721-3567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4847 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Maryland Family Dental | Past | Accepting new patients | |
| Norman D. Slovis | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Gambrills, MD
- NPI 1811333552
-
- Dental Clinic/Center
- Gambrills, MD
- NPI 1225694029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952461790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 DEFENSE HIGHWAY",
"address_2": "CROFTON MEDICAL ARTS BUILDING SUITE 101",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "21054",
"telephone_number": "410-721-3567",
"fax_number": "410-721-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 DEFENSE HIGHWAY",
"address_2": "CROFTON MEDICAL ARTS BUILDING SUITE 101",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "21054",
"telephone_number": "410-721-3567",
"fax_number": "410-721-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLUTSKIN",
"first_name": "ARNOLD",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "4847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gambrills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.