Mid America Dental Group of Maryland PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MID AMERICA DENTAL GROUP OF MARYLAND PC

Practice address

210 Pier 1 Rd
Ste 201
Stevensville, MD 21666-2604

Phone

(317) 886-6639

Fax

(888) 547-0377

NPI assigned

Apr 19, 2013

Organization subpart

No

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

Authorized official

Name

Luis Garabis, DDS

Title

Owner

Phone

(317) 886-6639

Specialties & licenses 1

Addresses

Tax ID family

Mid America Dental Group of Maryland PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mid America Health, Inc

  • Dentist
  • Greenwood, IN
  • NPI 1770642118
  NPD tax ID
• Mid America Professional Group, PC

  • Dentist
  • Greenwood, IN
  • NPI 1891854360
  NPD tax ID

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1992149033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 WINDHORST WAY STE 100",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438800",
            "telephone_number": "317-886-6639",
            "fax_number": "888-547-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PIER 1 RD",
            "address_2": "STE 201",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662604",
            "telephone_number": "317-886-6639",
            "fax_number": "888-547-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA DENTAL GROUP OF MARYLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "GARABIS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-886-6639",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Crouse McGrath, DMD
• Liam Andrew McMullen
• Patrick McMullen, BT
• Eugene Robinson McNinch III, DDS
• Micheline Shields, LLC
• Eleni Anastasia Miller
• Randall Bruce Minteer, LCSW-C
• Gregory Scott Moffitt, DDS
• Mood Holistics LLC
• Julia Morales, DPT

• Dentist in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.