GENESIS DENTAL OF HARFORD LLC (NPI# 1316550916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316550916 |
| Entity Type | Organization |
| Organization Name | GENESIS DENTAL OF HARFORD LLC |
| Practice Address |
7122 Harford Rd Baltimore MD 21234-7741 |
| Mailing Address |
2835 Smith Ave Ste 201 Baltimore MD 21209-1462 |
| Practice Telephone | 4104446153 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | WAYNE SILVERMAN (OWNER) |
| Authorized Official Telephone | 4105912174 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Genesis Family Dental of Harford | Doing Business As Name - Organization |
| Street Address |
7122 HARFORD RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21234-7741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376948414 | Brian David Schaffer | Dentist | 7122 Harford Rd, Baltimore, MD 21234-7741 | 2014-10-31 |
| 1316564503 | Samantha Emma Rasekh | Dentist | 7122 Harford Rd, Baltimore, MD 21234-7741 | 2020-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331934 | Nkechi Patricia Jiabana | Nurse Practitioner | 8511 Harford Road, Parkville, MD 21234 | 2020-09-17 |
| 1720604721 | Margaret Jackson | Licensed Practical Nurse | 2 Farmington Ct, Apt J, Parkville, MD 21234 | 2020-06-25 |
| 1225671936 | Center for Creative Values, Inc | Clinic/Center | 8110 Harford Road Suite B, Parkville, MD 21234 | 2019-10-25 |
| 1598267072 | Beyond This Day Behavioral Health | Counselor | 7231 Harford Rd., Baltimore, MD 21234 | 2018-03-01 |
| 1720587454 | Susan Parvis Cheek | Psychologist | 3501 Taylor Av, Baltimore, MD 21234 | 2018-02-08 |
| 1821507823 | Dionna Marcia Joseph | Counselor | 8646 Hoerner Avenue, Parkville, MD 21234 | 2017-09-22 |
| 1023536323 | Marquita Johnson | Home Health Aide | 2245 Pentland Dr Apt A, Parkville, MD 21234 | 2017-09-07 |
| 1538687140 | E & T Healthcare Enterprise | Nurse Practitioner | 8113 Hartford Road, Baltimore, MD 21234 | 2017-09-04 |
| 1295252278 | Amelia Ruth Anthony | Social Worker | 6802 Mcclean Blvd., Baltimore, MD 21234 | 2017-08-29 |
| 1184175440 | Black Nurses Rock - Baltimore. Md Chapter | Preferred Provider Organization | 7017 Hamlet Avenue, Parkville, MD 21234 | 2016-10-20 |
| Find all providers in zip 21234 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983001 | Raksha Barnes Dmd LLC | Clinic/Center | 838 S Conkling St, Baltimore, MD 21224-4303 | 2019-10-15 |
| 1497228936 | James D Perkins Dds LLC | Clinic/Center | 4000 Annapolis Rd Rear 101, Baltimore, MD 21227-3611 | 2019-01-08 |
| 1255819470 | Sumanya Venkat Rao Dds PC | Clinic/Center | 3635 Old Court Rd Ste 510, Baltimore, MD 21208-3916 | 2018-07-31 |
| 1558867481 | Jones Falls Dental LLC | Clinic/Center | 2 Hamill Rd Ste 265, Baltimore, MD 21210-1885 | 2018-03-31 |
| 1649729724 | Marie Johnson, Dds, Lls | Clinic/Center | 115 S Wolfe St, Baltimore, MD 21231-1915 | 2016-09-29 |
| 1104271279 | Belvedere Square Dental LLC | Clinic/Center | 14 Ruby Field Ct, Baltimore, MD 21209-1559 | 2016-04-26 |
| 1992180012 | Andrew Fried, Dmd LLC | Clinic/Center | 9712 Belair Road, Suite 304, Baltimore, MD 21236 | 2015-07-30 |
| 1447649900 | Byron Bonebreak Dmd LLC | Clinic/Center | 100 Harborview Dr, Unit 1309, Baltimore, MD 21230-5415 | 2015-01-21 |
| 1205013554 | Bright Smiles, P.a. | Clinic/Center | 4115 Wilkens Ave Ste 101, Baltimore, MD 21229-4750 | 2008-01-29 |
| 1396727681 | Ned S Greenberg Dds Pa | Clinic/Center | 2100 Eastern Blvd, Baltimore, MD 21220-4704 | 2005-11-14 |
| Find all providers in BALTIMORE | ||||
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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.