NPIMap

Organization Active NPI

DRS Leary , Burroughs and Woods, L.L.C.

  • General Practice Dentistry
  • Gambrills, MD
National Provider Identifier
1972838936
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DRS LEARY , BURROUGHS AND WOODS, L.L.C.
Practice address
325 Gambrills Rd
C
Gambrills, MD 21054-1102
Phone
(410) 923-0373
Fax
(410) 923-1093
NPI assigned
Oct 8, 2009
Last updated
Aug 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Mary Fricano
Title
Business Manager
Phone
(410) 923-0373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

325 Gambrills Rd
C
Gambrills, MD 21054-1102

Mailing address

PO Box 786
Gambrills, MD 21054-0786
Phone (410) 923-0373

National Provider Directory

National Provider Directory

Locations

325 Gambrills Rd
Ste C
Gambrills, MD 21054
Phone (410) 923-0373

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1972838936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210540786",
            "telephone_number": "410-923-0373",
            "fax_number": "410-923-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GAMBRILLS RD",
            "address_2": "C",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541102",
            "telephone_number": "410-923-0373",
            "fax_number": "410-923-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS LEARY , BURROUGHS AND WOODS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "FRICANO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "410-923-0373"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Aug 1, 2011; 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.