WEST ANNAPOLIS FAMILY DENTISTRY, LLC (NPI# 1447429279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447429279 |
| Entity Type | Organization |
| Organization Name | WEST ANNAPOLIS FAMILY DENTISTRY, LLC |
| Practice Address |
101 Ridgely Ave Suite 20 Annapolis MD 21401-1409 |
| Practice Telephone | 4102633700 |
| Practice Fax Number | 4102684925 |
| Mailing Telephone | 4102633700 |
| Mailing Fax Number | 4102684925 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | MS. MARY DODSON (OFFICE MANAGER) |
| Authorized Official Telephone | 4102633700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
101 RIDGELY AVE SUITE 20 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709752 | Maria E. Colucciello | Dentist | 101 Ridgely Ave, Ste 20, Annapolis, MD 21401-1409 | 2005-06-09 |
| 1639538283 | Lisa Laumann | Physician Assistant | 101 Ridgely Ave, Suite 10, Annapolis, MD 21401-1409 | 2016-02-10 |
| 1912187295 | Dennis Wright Guard | Dentist | 101 Ridgely Ave, Suite 22a, Annapolis, MD 21401-1409 | 2007-11-05 |
| 1316154644 | Kelly Lorraine Mcguigan | Dermatology | 101 Ridgely Ave, Suite 10, Annapolis, MD 21401-1409 | 2007-05-17 |
| 1427263102 | Melissa A Veneracion | Physician Assistant | 101 Ridgely Ave, Suite 10, Annapolis, MD 21401-1409 | 2007-05-14 |
| 1275696643 | Scott Michael Steckler | Dentist | 101 Ridgely Ave, Suite #12b, Annapolis, MD 21401 | 2006-12-18 |
| 1942298658 | Lawrence A Nurin | Dentist | 101 Ridgely Ave, Suite 11a, Annapolis, MD 21401-1409 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 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 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206278 | Specialists In Orthodontics of Maryland 2, Pllc | Clinic/Center | 888 Bestgate Rd Ste 301, Annapolis, MD 21401-2955 | 2020-02-11 |
| 1326515388 | Christopher W Anderson Dds LLC | Clinic/Center | 914 Bay Ridge Rd Ste 110, Annapolis, MD 21403-3935 | 2018-10-29 |
| 1306164165 | Multident Center Inc | Clinic/Center | 700 Melvin Ave Ste 2, Annapolis, MD 21401-1506 | 2010-05-04 |
| 1932263795 | Anne Arundel Co. Dept. of Hlth | Clinic/Center | 3 Harry S. Truman Pkwy, Annapolis, MD 21401-7085 | 2006-12-19 |
| 1467849711 | Annapolis Green Dental LLC | Clinic/Center | 2331 Forest Dr, Suite E, Annapolis, MD 21401-3868 | 2015-04-23 |
| 1043598188 | Lighthouse Family Dentistry | Clinic/Center | 37 Old Solomons Island Rd, Annapolis, MD 21401-3820 | 2011-07-22 |
| 1669780946 | Todd E. Patton Dds, LLC | Clinic/Center | 104 Forbes St, Suite 204, Annapolis, MD 21401-1516 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099782 | Michael Chang Dds PC | Clinic/Center | 16220 Frederick Rd Ste 315, Gaithersburg, MD 20877-4020 | 2020-09-24 |
| 1720694466 | Rouchon Dental | Clinic/Center | 3930 Knowles Ave Ste 302, Kensington, MD 20895-2428 | 2020-09-18 |
| 1013522184 | Niu Dentistry Towson LLC | Clinic/Center | 7801 York Rd Ste 307, Towson, MD 21204-7449 | 2020-09-15 |
| 1245844851 | Green Dentistry, LLC | Clinic/Center | 8611 2nd Ave Ste 201, Silver Spring, MD 20910-6349 | 2020-09-01 |
| 1386256931 | B. Casey Crafton Dds Ms PC | Clinic/Center | 10380 Old Columbia Rd, Columbia, MD 21046-1882 | 2020-08-17 |
| 1407474380 | Russell Park Dental Care, LLC | Clinic/Center | 963 Russell Ave Ste A, Gaithersburg, MD 20879-3287 | 2020-07-08 |
| 1992324750 | Richard L Rogers Dds Pa | Clinic/Center | 2100 Old Farm Dr Ste 1f, Frederick, MD 21702-9494 | 2020-04-13 |
| 1730726449 | Sammy Noumbissi Dds Pa | Clinic/Center | 801 Wayne Ave Ste G200, Silver Spring, MD 20910-4450 | 2019-12-02 |
| 1811533839 | Dosh Dental, LLC | Clinic/Center | 3905 National Dr Ste 340, Burtonsville, MD 20866-6111 | 2019-11-25 |
| 1720622970 | Arvind Jain Dmd | Clinic/Center | 8695 Commerce Dr Ste 4, Easton, MD 21601-7485 | 2019-10-31 |
| Find all providers with the same taxonomy | ||||
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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.