DR. LUBOR HLOUSEK (NPI# 1124018460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124018460 |
| Entity Type | Individual |
| Full Name | DR. LUBOR HLOUSEK |
| Credential | DMD MD |
| Practice Address |
275 West St Suite 100 Annapolis MD 21401-3400 |
| Practice Telephone | 4102687790 |
| Practice Fax Number | 4102687874 |
| Mailing Telephone | 4102687790 |
| Mailing Fax Number | 4102687874 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12585 | MD | Dental Providers |
| Street Address |
275 WEST ST SUITE 100 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931868 | Cornelius Joseph Sullivan | Dentist | 275 West St, Suite 100, Annapolis, MD 21401-3400 | 2005-09-09 |
| 1417573288 | Vanessa Lynn Torres | Physical Medicine & Rehabilitation | 275 West St, Annapolis, MD 21401-3400 | 2020-06-17 |
| 1174979538 | Dr. Lisa W. Hill, LLC | Psychologist | 275 West St, Suite 304, Annapolis, MD 21401-3400 | 2016-05-04 |
| 1427424886 | Samantha Stewart | Physical Therapist | 275 West St, Suite 300, Annapolis, MD 21401-3400 | 2015-08-19 |
| 1699170290 | Nicholas E. Daniel Dds P.C. | Dentist | 275 West St, Suite 105, Annapolis, MD 21401-3400 | 2014-10-27 |
| 1013172386 | Kurt Charles Jones | Dentist | 275 West St, Suite100, Annapolis, MD 21401-3400 | 2008-07-25 |
| 1154315794 | Clifford Steven Walzer | Dentist | 275 West St, Suite 100, Annapolis, MD 21401-3400 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154526648 | Drs Walzer Sullivan & Hlousek Pa | Dentist | 275 West Street, Suite 100, Annapolis, MD 21401 | 2007-06-15 |
| 1316931868 | Cornelius Joseph Sullivan | Dentist | 275 West St, Suite 100, Annapolis, MD 21401-3400 | 2005-09-09 |
| 1265845739 | Maryland Oral Surgery Associates of Annapolis, LLC | Dentist | 128 Lubrano Dr, Suite 300, Annapolis, MD 21401-7028 | 2014-06-03 |
| 1013172386 | Kurt Charles Jones | Dentist | 275 West St, Suite100, Annapolis, MD 21401-3400 | 2008-07-25 |
| 1326105339 | Gene Michael Kohler | Dentist | 2525 Riva Rd, Ste 122, Annapolis, MD 21401-7411 | 2007-01-02 |
| 1154315794 | Clifford Steven Walzer | Dentist | 275 West St, Suite 100, Annapolis, MD 21401-3400 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508490707 | Carl Ruderman Dds LLC | Dentist | 6309 Baltimore Ave Ste 202, Riverdale, MD 20737-1059 | 2020-02-26 |
| 1740810845 | Akeso Columbia Office LLC | Dentist | 6798 Oak Hall Ln Ste A-1, Columbia, MD 21045-4892 | 2020-01-17 |
| 1245742741 | Akeso Orafacial Maxillary Surgery | Dentist | 7544 Belair Road, Nottingham, MD 21236 | 2017-10-25 |
| 1710436407 | Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC | Dentist | 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 | 2016-09-23 |
| 1356726301 | Jak LLC | Dentist | 352 Thompson Creek Mall, Stevensville, MD 21666-2500 | 2015-07-20 |
| 1548661614 | Ib Dental II, P.C. | Dentist | 30a Audrey Lane, Oxon Hill, MD 20745-1301 | 2014-09-09 |
| 1457764052 | Xun Joy Chen | Dentist | 15005 Shady Grove Rd Ste 420, Rockville, MD 20850-6321 | 2014-06-11 |
| 1164848370 | Maryland Oral Surgery Associates of Frederick, LLC | Dentist | 161 Thomas Johnson Dr Ste 295, Frederick, MD 21702-4314 | 2014-03-12 |
| 1013345511 | The Oral Surgery Center At Mitchellville | Dentist | 12164 Central Ave Ste 224, Mitchellville, MD 20721-1903 | 2013-10-17 |
| 1992142806 | Nkemakonam Egolum | Dentist | 4175 N Hanson Ct Ste 200, Bowie, MD 20716 | 2013-05-31 |
| Find all providers with the same taxonomy | ||||
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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.