CPDG-AM (NPI# 1891043006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891043006 |
| Entity Type | Organization |
| Organization Name | CPDG-AM |
| Practice Address |
7556 Teague Rd Suite 110 Hanover MD 21076-1213 |
| Practice Telephone | 4107990780 |
| Practice Fax Number | 4107990781 |
| Mailing Telephone | 4107990780 |
| Mailing Fax Number | 4107990781 |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | HAKAN OMER KOYMEN (PRESIDENT) |
| Authorized Official Telephone | 4102483384 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | Y |
| Parent Organization Name | CHESAPEAKE PEDIATRIC DENTAL GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12770 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 9200608 | 05 | |
| MD | 008494860 | 05 | |
| MD | 026120300 | 05 | |
| MD | 036344800 | 05 | |
| MD | 022999700 | 05 |
| Street Address |
7556 TEAGUE RD SUITE 110 |
| City | HANOVER |
| State | MD |
| Zip Code | 21076-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033182274 | Falana Carter | Family Medicine | 7556 Teague Rd, Suite 210, Hanover, MD 21076-1213 | 2006-02-08 |
| 1801449723 | Laniqua Z. Richardson | Nurse Practitioner | 7556 Teague Rd, Hanover, MD 21076-1213 | 2019-07-19 |
| 1689101321 | Centers for Advanced Orthopaedics LLC | Chiropractor | 7556 Teague Rd, Suite 240, Hanover, MD 21076 | 2017-05-12 |
| 1629436266 | Heather Foster | Dentist | 7556 Teague Rd, Hanover, MD 21076-1213 | 2016-02-09 |
| 1083093322 | David Bonebreak Dds Ms LLC | Clinic/Center | 7556 Teague Rd, Suite 106, Hanover, MD 21076-1213 | 2015-05-20 |
| 1417334095 | Rini Soni | Dentist | 7556 Teague Rd, Suite 104, Hanover, MD 21076-1213 | 2015-05-02 |
| 1386047553 | Kelly Ann Tressler | Pharmacist | 7556 Teague Rd, Suite 220, Hanover, MD 21076-1213 | 2014-10-02 |
| 1164832473 | Kalyani Eye Care, LLC | Ophthalmology | 7556 Teague Rd, Suite 410, Hanover, MD 21076-1213 | 2014-05-08 |
| 1346669603 | Karen Denise Cullen | Advanced Practice Midwife | 7556 Teague Rd, Suite 430, Hanover, MD 21076-1213 | 2014-04-15 |
| 1174959704 | Jocelynn N Casselle | Nurse Practitioner | 7556 Teague Rd, Hanover, MD 21076-1213 | 2013-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023500766 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7706 Milestone Pkwy, Hanover, MD 21076 | 2018-05-30 |
| 1598287419 | Robert Ehrhardt | Social Worker | 7801 Nauitan Ct, Hanover, MD 21076 | 2017-07-12 |
| 1639699630 | Andrea K Kamara | Registered Nurse | 7566 Teague Road, Hanover, MD 21076 | 2017-06-21 |
| 1093265878 | Maryland Partnership for Prevention Inc | Allergy & Immunology | 7467 New Ridge Road, Suite 130, Hanover, MD 21076 | 2016-10-05 |
| 1720460678 | Michael David Berger | Podiatrist | 7240 Parkway Dr Ste 350, Hanover, MD 21076 | 2015-06-26 |
| 1306254941 | Eyefit Vision Centers | Optometrist | 7550 Teague Road, Suite 114, Hanover, MD 21076 | 2014-07-28 |
| 1972917813 | Jeongwon Shin | Psychiatry & Neurology | 7257 Parkway Dr Ste 250, Hanover, MD 21076 | 2014-06-18 |
| 1487070868 | Tywanna Hamilton | Nurse Practitioner | 7556 Teague Rd Ste 210, Hanover, MD 21076 | 2014-03-10 |
| 1891127866 | Elyce D. Millery | Dentist | 7581 Buckingham Blvd Ste 100, Hanover, MD 21076 | 2013-08-01 |
| 1588990725 | Katoya Lee | Nurse Practitioner | 7698 Dorchester Blvd Ste 204, Hanover, MD 21076 | 2009-10-22 |
| Find all providers in zip 21076 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902313570 | Hanover Pediatric Dentistry, Pllc | Dentist | 648 Washington St, Hanover, MA 02339-2386 | 2018-01-04 |
| 1679967137 | Sdk Professional Services, LLC | Dentist | 250 Fame Ave, Suite 206, Hanover, PA 17331-1587 | 2015-03-23 |
| 1497715510 | Linda S Blann | Dentist | 250 Fame Ave, Suite 206, Hanover, PA 17331-1587 | 2006-03-23 |
| 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 |
| 1336659721 | Tyson Bross Dmd Phd LLC | Dentist | 129 Lubrano Dr Ste 300, Annapolis, MD 21401-7568 | 2017-10-11 |
| 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.