LONGMEADOW FAMILY DENTAL CARE (NPI# 1174637185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174637185 |
| Entity Type | Organization |
| Organization Name | LONGMEADOW FAMILY DENTAL CARE |
| Practice Address |
19638 Leitersburg Pike Suite 103 Hagerstown MD 21742 |
| Mailing Address |
19638 Leitersburg Pike Suite 103 Hagerstown MD 21742-1438 |
| Practice Telephone | 3017391100 |
| Mailing Telephone | 3017391100 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2017-11-08 |
| Authorized Official Name | DR. BRANDON KEITH ELLIS (PRES/OWNER) |
| Authorized Official Telephone | 3017391100 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 14739 | MD | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12508 | MD | Dental Providers |
| Street Address |
19638 LEITERSBURG PIKE SUITE 103 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| 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 |
|---|---|---|---|---|
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1548652993 | Smithfield Farm Dentures and Dentistry | Dentist | 12066 Smithfield Farm Ln, Hagerstown, MD 21740-2166 | 2015-02-23 |
| 1508298993 | Preetinder Kaur Aulakh | Dentist | 1329 Pennsylvania Ave Ste 201, Hagerstown, MD 21742-3110 | 2013-08-07 |
| 1285075358 | Md-sg Dental, LLC | Dentist | 1730 Massey Blvd Ste 106, Hagerstown, MD 21740-6973 | 2013-07-17 |
| 1154622173 | Phyllis A. Colombaro | Dentist | 1185 Mt. Aetna Rd., Suite 200, Hagerstown, MD 21740-6832 | 2010-11-08 |
| 1992016075 | James B Burley | Dentist | 1115 Mount Aetna Rd, Hagerstown, MD 21740-6806 | 2010-06-23 |
| 1831414275 | Judith A Emmert | Dentist | 638 Potomac Ave, Hagerstown, MD 21740-3838 | 2010-03-29 |
| 1346579570 | Richard Bain Prather IIi | Dentist | 222 E. Oak Ridge Dr, Suite 700, Hagerstown, MD 21740 | 2009-12-17 |
| 1518110683 | Todd P. Eckel | Dentist | 704 Oak Hill Ave, Hagerstown, MD 21740-3887 | 2008-11-03 |
| 1689859761 | Allan Isaac Seidman | Dentist | 18638 Crestwood Dr, Hagerstown, MD 21742 | 2008-01-08 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.