EASTERN AVENUE DENTAL, LLC (NPI# 1437550761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437550761 |
| Entity Type | Organization |
| Organization Name | EASTERN AVENUE DENTAL, LLC |
| Practice Address |
12412 Eastern Ave Baltimore MD 21220 |
| Mailing Address |
Po Box B Chase MD 21027-0020 |
| Practice Telephone | 4103357771 |
| Mailing Telephone | 4103357771 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-09 |
| Authorized Official Name | SINHA KANG (DENTIST) |
| Authorized Official Telephone | 4103357771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 12853 | MD | Dental Providers |
| N | 122300000X | Dentist | 14921 | MD | Dental Providers |
| N | 122300000X | Dentist | 15012 | MD | Dental Providers |
| Y | 122300000X | Dentist | 13144 | MD | Dental Providers |
| Street Address |
12412 EASTERN AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932448073 | Lloyd Vernon Schubert Jr. | Dentist | 12412 Eastern Ave, Baltimore, MD 21220-1308 | 2013-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164119 | Sian Crosby | Speech-Language Pathologist | Glenmar Elementrary School, 9700 Community Drive, Middle River, MD 21220 | 2018-11-29 |
| 1336545029 | Andrea Tuck | Counselor | 24 Granny Smith Ct, Baltimore, MD 21220 | 2014-11-07 |
| 1356762959 | Johns Hopkins Hospital | General Acute Care Hospital | 11550 Crossroad Circle, Unit 606, Middle River, MD 21220 | 2013-12-27 |
| 1770693392 | Costco Wholesale Corporation | Pharmacy | 9919 Pulaski Hwy, Baltimore, MD 21220 | 2006-08-30 |
| 1255393344 | James Wallace Carpenter | Physician Assistant | 10 North Green St, Va Med Center Ward 6b, Baltimore, MD 21220 | 2006-04-04 |
| 1386624427 | Allen F Clowers | Family Medicine | 107 Beacon Road, Baltimore, MD 21220 | 2006-01-17 |
| 1306229794 | Dorcas Lwanga | Dietitian, Registered | 201 Ballard Ave, Middle River, MD 21220 | 2015-07-02 |
| 1316905227 | Chienyenwa E. Nwachinemere | Internal Medicine | 201 Ballard Ave, Middle River, MD 21220 | 2006-05-02 |
| 1902880552 | Ned Scott Greenberg | Dentist | 2100 Eastern Blvd, Baltimore, MD 21220 | 2005-12-06 |
| 1659935807 | Kathryn Joy Mckinney | Registered Nurse | 13214 Cherwin Ave, Baltimore, MD 21220-1008 | 2019-04-23 |
| Find all providers in zip 21220 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999736 | Kyung Min Shin | Dentist | 11 S Eutaw St Apt 1609, Baltimore, MD 21201-1638 | 2020-07-16 |
| 1649897935 | Cory Kyser | Dentist | 1900 E Northern Pkwy Ste 103, Baltimore, MD 21239-2109 | 2020-07-02 |
| 1841814845 | Michael Listhaus | Dentist | 650 W Baltimore St Rm 2204, Baltimore, MD 21201-1510 | 2020-06-04 |
| 1598325904 | Chelsea Merritt | Dentist | 2 N Charles St Ste 130, Baltimore, MD 21201-3715 | 2019-06-18 |
| 1699235036 | Alyssa M Dierkes | Dentist | 10 Light St Unit 1002, Baltimore, MD 21202-1476 | 2019-03-21 |
| 1841777323 | Nikta Pashai | Dentist | 4660 Wilkens Ave Ste 301, Baltimore, MD 21229-4845 | 2018-07-26 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1851814065 | Frederico Canato Martinho | Dentist | 650 W Baltimore St Rm 6258, Baltimore, MD 21201-1510 | 2017-07-19 |
| 1578085593 | Rabia Eltaf | Dentist | 1010 S Northpoint Rd, Baltimore, MD 21224-3307 | 2017-07-11 |
| 1699297838 | Smile Dental, LLC | Dentist | 535 Dundalk Ave Ste 2, Baltimore, MD 21224-2903 | 2017-07-10 |
| 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.