Organization Active NPI

Express Dental Emergency Services, LLC

Doing business as The Dental ER

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1972378164
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EXPRESS DENTAL EMERGENCY SERVICES, LLC
Doing business as
The Dental ER
Practice address
1111 Park Ave Ste 109
Baltimore, MD 21201-5656
Phone
(410) 699-1077
Fax
(410) 383-1988
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Dr. Dana Aubert Truesdale, DDSNPI 1548239700
Title
Owner
Phone
(804) 614-8812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1111 Park Ave Ste 109
Baltimore, MD 21201-5656

Mailing address

1111 Park Ave Ste 109
Baltimore, MD 21201-5656

Other names 1

  • The Dental ER Doing business as

National Provider Directory

National Provider Directory

Locations

1111 Park Ave
Ste 109
Baltimore, MD 21201
Phone (410) 699-1077

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1972378164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PARK AVE STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PARK AVE STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015656",
            "telephone_number": "410-699-1077",
            "fax_number": "410-383-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS DENTAL EMERGENCY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "TRUESDALE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "AUBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-614-8812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.