MARYLAND ENDODONTIC GROUP, P.C. (NPI# 1912041062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912041062 |
| Entity Type | Organization |
| Organization Name | MARYLAND ENDODONTIC GROUP, P.C. |
| Practice Address |
22 W Padonia Rd Suite C-244 Timonium MD 21093-2226 |
| Practice Telephone | 4102523900 |
| Practice Fax Number | 4102526051 |
| Mailing Telephone | 4102523900 |
| Mailing Fax Number | 4102526051 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2013-02-23 |
| Authorized Official Name | DR. JEFFREY ALAN LIEBERMAN (PRESIDENT) |
| Authorized Official Telephone | 4102523900 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
6162 | MD | Dental Providers |
| Street Address |
22 W PADONIA RD SUITE C-244 |
| City | TIMONIUM |
| State | MD |
| Zip Code | 21093-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932314 | Rossina Lolita Ramirez | Physical Therapist | 22 W Padonia Rd, Suite C-132, Timonium, MD 21093-2226 | 2005-06-15 |
| 1194367573 | Kindle Growth, LLC | Social Worker | 22 W Padonia Rd, Timonium, MD 21093-2226 | 2019-10-17 |
| 1982122594 | Milton Pittman | Counselor | 22 W Padonia Rd, Timonium, MD 21093-2226 | 2017-09-04 |
| 1417301292 | Elizabeth Mccarthy | Counselor | 22 W Padonia Rd, C-353, Timonium, MD 21093-2226 | 2016-04-19 |
| 1639542764 | Timonium Family Dentistry | Dentist | 22 W Padonia Rd, Suite 232, Timonium, MD 21093-2226 | 2015-11-11 |
| 1295108801 | Safe Harbor Christian Counseling | Psychologist | 22 W Padonia Rd, Suite C353, Timonium, MD 21093-2226 | 2015-11-04 |
| 1275934531 | David Bassiri | Hearing Instrument Specialist | 22 W Padonia Rd, Ste C245, Timonium, MD 21093-2226 | 2014-09-05 |
| 1306251657 | Bordenick Audiology Group, Inc. | Audiologist | 22 W Padonia Rd, C245, Timonium, MD 21093-2226 | 2014-06-25 |
| 1124372271 | Life Care Health Associates | Social Worker | 22 W Padonia Rd, Timonium, MD 21093-2226 | 2012-10-27 |
| 1649591918 | Mohammad Basem Elkhatib | Dentist | 22 W Padonia Rd, Suite 232, Timonium, MD 21093-2226 | 2010-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508399080 | Timonium Dental & Specialty LLC | Dentist | 2135 York Rd Ste A, Timonium, MD 21093-3137 | 2017-04-11 |
| 1306057765 | Ramzi George Anton | Dentist | 2 Greenmeadow Dr, Timonium, MD 21093-3230 | 2007-05-25 |
| 1407983612 | Heejun Kathy Lee | Dentist | 22 W Padonia Rd, Suite C244, Timonium, MD 21093-2226 | 2007-02-27 |
| 1013051168 | Jeffrey Alan Lieberman | Dentist | 22 W Padonia Rd, Suite C-244, Timonium, MD 21093-2226 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404157 | Rct Endodontics of North Potomac, LLC | Dentist | 11906 Darnestown Rd Ste G, North Potomac, MD 20878-2200 | 2020-07-22 |
| 1750909651 | Azad Dental Group | Dentist | 1020 Mill Pond Rd Ste F, Frederick, MD 21701-9428 | 2020-07-08 |
| 1831758382 | Georgetowne Park Endodontics | Dentist | 5846 Hubbard Dr, Rockville, MD 20852-4820 | 2019-06-09 |
| 1568021012 | Endodontics of Gaithersburg, LLC | Dentist | 847 Quince Orchard Blvd Ste G, Gaithersburg, MD 20878-1677 | 2019-06-09 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1649754482 | Greater Maryland Endodontics, LLC | Dentist | 7676 New Hampshire Ave Ste 424, Takoma Park, MD 20912-7516 | 2018-09-18 |
| 1346730249 | Alexis Joy Herring | Dentist | 29466 Pintail Dr Ste 16, Easton, MD 21601-9324 | 2018-05-16 |
| 1023510575 | Advanced Endodontics Specialty Doctors | Dentist | 5802 Hubbard Dr, Rockville, MD 20852-4818 | 2018-03-01 |
| 1962903864 | Quince Orchard Dental Specialists LLC | Dentist | 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 | 2018-02-26 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
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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.