TYSON BROSS DMD PHD LLC


Address: 129 Lubrano Dr Ste 300, Annapolis, MD 21401-7568
Phone: 4102240018

TYSON BROSS DMD PHD LLC (NPI# 1336659721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336659721
Entity Type Organization
Organization Name TYSON BROSS DMD PHD LLC
Practice Address 129 Lubrano Dr Ste 300
Annapolis
MD 21401-7568
Mailing Address 101 Eareckson Ln
Stevensville
MD 21666-3037
Practice Telephone 4102240018
Practice Fax Number 4102244214
Enumeration Date 2017-10-11
Last Update Date 2017-10-11
Authorized Official Name DR. TYSON BROSS (PRINCIPAL)
Authorized Official Telephone 4433731634
Authorized Official Credential DMD PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
14024 MD Dental Providers

Office Location

Street Address 129 LUBRANO DR STE 300
City ANNAPOLIS
State MD
Zip Code 21401-7568

Providers in the same zip code

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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
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932477221 Annapolis Pediatric Dentistry Dentist 41 Old Solomons Island Rd., Suite 3, Annapolis, MD 21401 2011-12-01
1427188812 William Smith Jr. Dentist 3 Harry S Truman Parkway, Anne Arundel County Dept of Health, Annapolis, MD 21401 2007-03-06
1194949214 Marla Kush Prokop, Dmd, Pa Dentist 621 Ridgely Ave, Suite 202, Annapolis, MD 21401-1081 2007-04-12
1104959337 Beverly Ann Jimenez Dentist 621 Ridgely Ave, Suite 206, Annapolis, MD 21401-1081 2007-03-14
1598894107 Frances S Lewis Dentist 3 Harry S. Truman Parkway, Annapolis, MD 21401-7031 2007-03-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295385698 Just 4 Kidz Dentistry, LLC Dentist 12250 Rockville Pike Ste 200, Rockville, MD 20852-1669 2019-09-17
1033761960 Caroline Larosiliere Dds and Associates Dentist 10605 Greenbelt Rd, Lanham, MD 20706-2274 2019-07-11
1720562507 Arundel Pediatric Dental Care Dentist 8531 Veterans Hwy Ste 103, Millersville, MD 21108-2653 2018-09-18
1083192884 Chang & Phan Dental, LLC Dentist 451 Hungerford Dr Ste 100, Rockville, MD 20850-5102 2018-08-02
1710473731 Marlborough Village Pediatric Dental Dentist 5098 Brown Station Rd Ste 260, Upper Marlboro, MD 20772-9124 2018-07-02
1184116618 Kiddie Cavity Care Thmd, LLC Dentist 3743 Branch Ave Ste A, Temple Hills, MD 20748-1408 2018-05-31
1851881999 Haider Alshami Dentist 650 W Baltimore St, Baltimore, Md 21201, 3rd Flood, Baltimore, MD 21286 2018-05-15
1306335468 Adam Elrafei Dentist 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 2018-05-04
1285121137 Zamora Kids Dentistry, P.a. Dentist 1350 Blair Dr Ste I, Odenton, MD 21113-1333 2018-04-17
1548788730 East Point Pediatric Dental Associates Dentist 1001 N Point Blvd Ste 503, Baltimore, MD 21224-3413 2017-09-07
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Competitor

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City ANNAPOLIS
Zip Code 21401

Improve Information

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Dataset Information

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.

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