DR. ANCELA BLAKELY (NPI# 1124374111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124374111 |
Entity Type | Individual |
Full Name | DR. ANCELA BLAKELY |
Credential | D.D.S. |
Practice Address |
2511 Panther Ln Bowie MD 20716-1405 |
Practice Telephone | 4439950533 |
Mailing Telephone | 4439950533 |
Enumeration Date | 2012-07-27 |
Last Update Date | 2012-07-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 14584 | MD | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
14584 | MD | Dental Providers |
Street Address |
2511 PANTHER LN |
City | BOWIE |
State | MD |
Zip Code | 20716-1405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
Find all providers in zip 20716 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932667367 | Dhruva Atul Gurjar | Dentist | 4321 Collington Rd Ste 210, Bowie, MD 20716-2263 | 2019-03-05 |
1093279176 | Bowie Dental Group LLC | Dentist | 14300 Gallant Fox Ln Ste 208, Bowie, MD 20715-4033 | 2019-01-23 |
1760924559 | Emona Kraja | Dentist | 3060 Mitchellville Rd Ste 105, Bowie, MD 20716-3965 | 2016-11-09 |
1295098325 | Margo Ree Adesanya | Dentist | 6911 Laurel - Bowie Rd, Suite 204, Bowie, MD 20715 | 2012-06-22 |
1285901801 | Neibauer Dental Care, P.C. | Dentist | 6141 Highbridge Rd, Bowie, MD 20715 | 2011-11-28 |
1063655009 | Daquant N Hornbeak | Dentist | 4000 Mitchellville Rd Ste B426, Bowie, MD 20716-3159 | 2009-04-07 |
1235320847 | Alvin Elliot Lee | Dentist | 6808 Laurel Bowie Rd, Bowie, MD 20715-1709 | 2007-08-08 |
1508078007 | Ambiance Dental Spa | Dentist | 12500 A Fairwood Parkway, Bowie, MD 20720 | 2007-05-04 |
1336362961 | Robert L St John | Dentist | 307 W Tarrant St, Suite C, Bowie, TX 76230 | 2007-04-11 |
1730218603 | Glenn Cocoros | Dentist | 1522 Pointer Ridge Pl, Suite K, Bowie, MD 20716-1875 | 2007-03-05 |
Find all providers in BOWIE |
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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.