Active NPI
Amy Grace Ly
- General Practice Dentistry
- Glen Burnie, MD
National Provider Identifier
1992689111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18524
- Practice address
- 7671 Quarterfield Rd
Glen Burnie, MD 21061-4998 - Phone
- (410) 713-4075
- NPI assigned
- Aug 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18524 | MD | Primary |
Addresses
Primary practice location
7671 Quarterfield Rd
Glen Burnie, MD 21061-4998
Mailing address
142 Linden PL
Towson, MD 21286-5493
Phone (858) 405-7139
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 |
|---|---|---|---|
| DS045334 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1992689111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 LINDEN PL",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865493",
"telephone_number": "858-405-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7671 QUARTERFIELD RD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614998",
"telephone_number": "410-713-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "AMY",
"middle_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-01",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "18524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.