KEVIN CRISCITIELLO (NPI# 1609007442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609007442 |
| Entity Type | Individual |
| Full Name | KEVIN CRISCITIELLO |
| Credential | DDS |
| Practice Address |
7067 Baltimore Annapolis Blvd Glen Burnie MD 21061-1431 |
| Mailing Address |
907 S Linwood Ave Baltimore MD 21224-4841 |
| Practice Telephone | 4108591255 |
| Practice Fax Number | 4108591463 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2013-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14481 | MD | Dental Providers |
| Street Address |
7067 BALTIMORE ANNAPOLIS BLVD |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| 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 |
|---|---|---|---|---|
| 1568072825 | Smile Loft Glen Burnie LLC | Dentist | 325 Hospital Dr Ste 101, Glen Burnie, MD 21061-5806 | 2020-08-03 |
| 1215496047 | Oluwabusayo Lana | Dentist | 40c E Ordnance Rd, Glen Burnie, MD 21060-6544 | 2019-03-19 |
| 1790207397 | Elaine Bylis | Dentist | 1916 Crain Hwy S Ste 3, Glen Burnie, MD 21061-5565 | 2017-07-14 |
| 1699021469 | Robin Jessica Larkin | Dentist | 1720 Crain Hwy S, Suite 103, Glen Burnie, MD 21061-5629 | 2012-07-31 |
| 1184958076 | Paul R Miller | Dentist | 7711 Quarterfield Rd Ste C1, Glen Burnie, MD 21061-4591 | 2009-09-24 |
| 1578713442 | Saureen Shah | Dentist | 806 Landmark Dr Ste 124, Glen Burnie, MD 21061-4966 | 2008-09-26 |
| 1831353341 | Allan Schulman, D.d.s., Pa | Dentist | 1720 Crain Hwy S Ste 103, Glen Burnie, MD 21061-5631 | 2008-07-14 |
| 1205003852 | Alex Demyan Jr. | Dentist | 20 Crain Highway Sw, Glen Burnie, MD 21061 | 2008-05-13 |
| 1962554824 | Elise Gayoso Penafiel | Dentist | 7425 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-3507 | 2007-01-18 |
| 1811076250 | Tam Nguyen | Dentist | 633 Greenway Rd Se, Glen Burnie, MD 21061-3713 | 2006-11-05 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.