INDRA SIDHU DDS (NPI# 1053953372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053953372 |
| Entity Type | Organization |
| Organization Name | INDRA SIDHU DDS |
| Practice Address |
208 Crain Hwy Sw Glen Burnie MD 21032 |
| Practice Telephone | 4105530651 |
| Mailing Telephone | 4105530651 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | MUNSHA KAUR SIDHU (ASSOCIATE DENTIST) |
| Authorized Official Telephone | 3014980002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699076307 | Indra Sidhu Dds | Dentist | 595 Main St, Suite 237, Laurel, MD 20707 | 2010-11-11 |
| Street Address |
208 CRAIN HWY SW |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578503686 | Daljeet Singh Sidhu | Internal Medicine | 208 Crain Hwy Sw, Glen Burnie, MD 21061-3530 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841498680 | Mary Elizabeth Bracken | Internal Medicine | 2015 Martins Grant Ct, Crownsville, MD 21032 | 2007-07-03 |
| 1225113061 | Addictions Recovery Inc | Rehabilitation, Substance Use Disorder Unit | 26 Marbury Rd, Crownsville, MD 21032 | 2006-10-26 |
| 1801809512 | Rodney A Floyd | Dentist | 1017 Generals Highway, Crownsville, MD 21032 | 2006-08-14 |
| 1760995831 | Saundra Valera | Nurse Practitioner | 1454 Fairfield Loop Rd, Crownsville, MD 21032 | 2017-11-13 |
| 1871982611 | Addiction Recovery Inc | Counselor | 26 Marbury Dr, Crownsville, MD 21032 | 2015-01-16 |
| 1215290887 | Stephanie Ray | Occupational Therapist | 1454 Fairfield Loop Rd, Crownsville, MD 21032 | 2012-06-19 |
| 1861769499 | Michelle Marie Jones | Registered Nurse | 1122 Oak View Dr, Crownsville, MD 21032-1039 | 2011-11-28 |
| 1326518101 | Katherine Spohn Streett | Counselor | 1141 Sunrise Beach Rd, Crownsville, MD 21032-1126 | 2018-12-05 |
| 1598140865 | Guy Merritt Iv | Counselor | 813 Miner Rd, Crownsville, MD 21032-1203 | 2015-07-28 |
| 1710128889 | William Michael Copeland | Nurse Practitioner | 815 Miner Rd, Crownsville, MD 21032-1203 | 2009-03-18 |
| Find all providers in zip 21032 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801275052 | Niu Dentistry, LLC | Clinic/Center | 420 Crain Hwy S Ste 5, Glen Burnie, MD 21061-3657 | 2015-05-20 |
| 1881879203 | Larry D. Epstein D.d.s, Pa | Clinic/Center | 7706 Quarterfield Rd, Glen Burnie, MD 21061-4428 | 2008-01-03 |
| 1578088894 | Jennifer Stewart Dds LLC | Clinic/Center | 7600 Ritchie Hwy, Glen Burnie, MD 21061 | 2017-08-08 |
| 1427115930 | Andrew P Ingel Dmd LLC | Clinic/Center | 325 Hospital Drive, Suite 205, Glen Burnie, MD 21061 | 2007-01-03 |
| 1033272687 | Anne Arundel Co Dept of Hlth | Clinic/Center | 791 Aquahart Rd, Suite 200, Glen Burnie, MD 21061 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099782 | Michael Chang Dds PC | Clinic/Center | 16220 Frederick Rd Ste 315, Gaithersburg, MD 20877-4020 | 2020-09-24 |
| 1720694466 | Rouchon Dental | Clinic/Center | 3930 Knowles Ave Ste 302, Kensington, MD 20895-2428 | 2020-09-18 |
| 1013522184 | Niu Dentistry Towson LLC | Clinic/Center | 7801 York Rd Ste 307, Towson, MD 21204-7449 | 2020-09-15 |
| 1245844851 | Green Dentistry, LLC | Clinic/Center | 8611 2nd Ave Ste 201, Silver Spring, MD 20910-6349 | 2020-09-01 |
| 1386256931 | B. Casey Crafton Dds Ms PC | Clinic/Center | 10380 Old Columbia Rd, Columbia, MD 21046-1882 | 2020-08-17 |
| 1407474380 | Russell Park Dental Care, LLC | Clinic/Center | 963 Russell Ave Ste A, Gaithersburg, MD 20879-3287 | 2020-07-08 |
| 1992324750 | Richard L Rogers Dds Pa | Clinic/Center | 2100 Old Farm Dr Ste 1f, Frederick, MD 21702-9494 | 2020-04-13 |
| 1689206278 | Specialists In Orthodontics of Maryland 2, Pllc | Clinic/Center | 888 Bestgate Rd Ste 301, Annapolis, MD 21401-2955 | 2020-02-11 |
| 1730726449 | Sammy Noumbissi Dds Pa | Clinic/Center | 801 Wayne Ave Ste G200, Silver Spring, MD 20910-4450 | 2019-12-02 |
| 1811533839 | Dosh Dental, LLC | Clinic/Center | 3905 National Dr Ste 340, Burtonsville, MD 20866-6111 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21032 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.