DENTAL ASSOCIATES OF FREDERICK, LLC (NPI# 1891150744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891150744 |
| Entity Type | Organization |
| Organization Name | DENTAL ASSOCIATES OF FREDERICK, LLC |
| Practice Address |
196 Thomas Johnson Dr Suite 235 Frederick MD 21702-4397 |
| Practice Telephone | 3016687700 |
| Mailing Telephone | 3016687700 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |
| Authorized Official Name | DR. KEVIN SCOTT OAKES (PRESIDENT) |
| Authorized Official Telephone | 3016687700 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
14295 | MD | Dental Providers |
| Street Address |
196 THOMAS JOHNSON DR SUITE 235 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841283579 | Sallyann Mccarthy | Registered Nurse | 196 Thomas Johnson Dr, Suite 120-b, Frederick, MD 21702-4397 | 2005-08-29 |
| 1962036624 | Cleopatra Kulasi | Family Medicine | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2020-03-02 |
| 1922510056 | Paola Haros | Physician Assistant | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2017-10-30 |
| 1912441890 | Heather Wilber | Physician Assistant | 196 Thomas Johnson Dr, Suite 135, Frederick, MD 21702-4397 | 2016-12-12 |
| 1952858771 | Tania Thornton | Nurse Practitioner | 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702-4397 | 2016-09-09 |
| 1194119818 | Corey Amber Ward | Nurse Practitioner | 196 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4397 | 2015-03-19 |
| 1841698925 | Alexander King | Acupuncturist | 196 Thomas Johnson Dr, 125, Frederick, MD 21702-4397 | 2014-12-05 |
| 1104237858 | Dr. E.j. Stringer, D.m.d., P.a. | Dentist | 196 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4397 | 2014-05-15 |
| 1720326002 | Dr. Eunjoo Song Stringer Dmd | Dentist | 196 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4397 | 2013-01-22 |
| 1235475674 | Gayatri Pestonjee | Nurse Anesthetist, Certified Registered | 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702-4397 | 2012-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
| 1275902298 | Yeremi A Canizales Dds P A | Dentist | 572 Ritchie Hwy Ste F, Severna Park, MD 21146-2966 | 2015-09-21 |
| 1770911273 | Fotini Chrisopoulos | Dentist | 11 N Eutaw St Apt 405, Baltimore, MD 21201-1794 | 2013-10-18 |
| 1548514730 | Churchton Dental Care | Dentist | 5570 Shady Side Rd, Unit A, Churchton, MD 20733-9639 | 2012-11-09 |
| 1124396551 | Guadalupe Garcia Fay | Dentist | 650 W Baltimore St # 4220, Baltimore, MD 21201-1510 | 2011-12-13 |
| 1598033136 | Mark Edward Brennan | Dentist | 882 Backbone Ct, Westminster, MD 21157-7745 | 2011-12-11 |
| 1366738536 | William E. Chmar | Dentist | 5952 Hubbard Dr, Rockville, MD 20852-4824 | 2011-06-25 |
| 1073812913 | Family Cosmetic & Implant Dentistry | Dentist | 3222 Powder Mill Rd, Adelphi, MD 20783-1037 | 2011-03-17 |
| 1831499433 | Stuart L. Graves Dental Associates, P.C. | Dentist | 11200 Rockville Pike Ste 115, Rockville, MD 20852-7114 | 2010-10-28 |
| 1578707204 | Andrea Denise Jackson | Dentist | 6912 Wade Ave, Clinton, MD 20735-2743 | 2009-04-24 |
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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.