WOODDELL & PASSARO DENTAL GROUP LLC (NPI# 1407020084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407020084 |
| Entity Type | Organization |
| Organization Name | WOODDELL & PASSARO DENTAL GROUP LLC |
| Other Organization Name | DAVIDSONVILLE DENTISTRY LLC |
| Practice Address |
3102 Davidsonville Road Davidsonville MD 21035 |
| Mailing Address |
Po Box 364 Davidsonville MD 21035 |
| Practice Telephone | 4109565555 |
| Practice Fax Number | 4107985165 |
| Mailing Telephone | 4109565555 |
| Mailing Fax Number | 4107985165 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | DR. JOSEPH C PASSARO (OWNER DENTIST) |
| Authorized Official Telephone | 4109565555 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
7646 | MD | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7592 | MD | Dental Providers |
| Other Name | Type Code |
|---|---|
| Davidsonville Dentistry LLC | Former Legal Business Name - Organization |
| Street Address |
3102 DAVIDSONVILLE ROAD |
| City | DAVIDSONVILLE |
| State | MD |
| Zip Code | 21035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174724892 | Kim Alison Edwards | Registered Nurse | 2903 South Lake Drive, Davidsonville, MD 21035 | 2007-05-30 |
| 1003973538 | Perry J Lucente | Optometrist | 2510 Howard Grove Rd, Davidsonville, MD 21035 | 2007-01-03 |
| 1306949607 | Carol Macneal Gillies | Physician Assistant | 2772 Rutland Road, Nighttime Care Centers, Davidsonville, MD 21035 | 2006-09-06 |
| 1790740082 | Amy M Swank | Nurse Anesthetist, Certified Registered | 3468 Monitor Ct, Davidsonville, MD 21035 | 2006-04-19 |
| 1184841181 | Stanford Joseph Coleman Jr. | Family Medicine | 2772 Rutland Road, Davidsonville, MD 21035 | 2007-04-19 |
| 1851446751 | Rose Susel | Optometrist | 2510 Howard Grove Rd, Davidsonville, MD 21035 | 2007-01-24 |
| 1508912049 | Terence Aloysius Mcguire | General Practice | 2935 Davidsonville Rd, Davidsonville, MD 21035-0069 | 2007-01-26 |
| 1366790057 | Bert Alton Brantley Jr. | Internal Medicine | 2402 Fox Creek Ln, Davidsonville, MD 21035-1151 | 2012-08-28 |
| 1326091232 | Robert G. Graw Jr. | Pediatrics | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2006-05-19 |
| 1750822672 | Elizabeth Ann Smith | Nurse Practitioner | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2017-03-10 |
| Find all providers in zip 21035 | ||||
| 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 |
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| 1568061166 | Frederick Center for Dentistry, LLC | Dentist | 140 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4485 | 2020-10-23 |
| 1023617321 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 151 Bishop Murphy Dr Ste A, Frostburg, MD 21532-1476 | 2020-10-19 |
| 1427656248 | Kopit Dental Care, Pa | Dentist | 3420 Worthington Blvd Ste A, Frederick, MD 21704-7020 | 2020-10-14 |
| 1588261085 | Rejuvenation Dental LLC | Dentist | 85 High St Ste 6, Waldorf, MD 20602-2150 | 2020-10-07 |
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1992302731 | Brandy L Carullo | Dentist | 8503 Greenbelt Rd Ste T4, Greenbelt, MD 20770-2303 | 2020-10-05 |
| 1871109850 | James Bantz Wooddell Jr. | Dentist | 600 Ridgely Ave Ste 225, Annapolis, MD 21401-1089 | 2020-09-16 |
| 1003421330 | Aspen Hill Implant & Family Dentistry, P.c | Dentist | 1401 Mercantile Ln # 583, Upper Marlboro, MD 20774-4301 | 2020-09-14 |
| 1457965238 | Shalom Dental | Dentist | 5801 Allentown Rd Ste 307, Camp Springs, MD 20746-4582 | 2020-08-31 |
| 1598377921 | John Francis Battinelli | Dentist | 325 Gambrills Rd Ste C, Gambrills, MD 21054-1102 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
| City | DAVIDSONVILLE |
| Zip Code | 21035 |
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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.