MY FREDERICK DENTIST LLC (NPI# 1942767074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942767074 |
| Entity Type | Organization |
| Organization Name | MY FREDERICK DENTIST LLC |
| Practice Address |
2100 Old Farm Dr # 1-b Frederick MD 21702-9494 |
| Practice Telephone | 3016989552 |
| Mailing Telephone | 3016989552 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | DR. CYRUS ALLAFI (CEO) |
| Authorized Official Telephone | 3015806047 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2100 OLD FARM DR # 1-B |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-9494 |
| 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 | 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 |
|---|---|---|---|---|
| 1568061166 | Frederick Center for Dentistry, LLC | Dentist | 140 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4485 | 2020-10-23 |
| 1427656248 | Kopit Dental Care, Pa | Dentist | 3420 Worthington Blvd Ste A, Frederick, MD 21704-7020 | 2020-10-14 |
| 1083232508 | Katherine Victoria Bell | Dentist | 5010 Buckeystown Pike Ste 144, Frederick, MD 21704-8340 | 2020-07-10 |
| 1932764479 | Ryan Krempel | Dentist | 161 Thomas Johnson Dr, Frederick, MD 21702-4314 | 2019-05-09 |
| 1437643046 | Alexandra Fitzgerald | Dentist | 2090 Old Farm Dr Ste B, Frederick, MD 21702-5404 | 2018-06-18 |
| 1578092771 | Salar Azad | Dentist | 1020 Mill Pond Rd, Frederick, MD 21701-9427 | 2017-06-09 |
| 1902339062 | Lifetime Dental Care of Maryland Badger, P.C. | Dentist | 4959 Westview Dr, Suite F, Frederick, MD 21703-7369 | 2017-04-06 |
| 1003274382 | Brian K Motz Dds PC | Dentist | 65b Thomas Johnson Drive, Frederick, MD 21702-4371 | 2016-02-02 |
| 1093111874 | Kaitlyn Grosso | Dentist | 11339 Liberty Rd, Suite 9, Frederick, MD 21701-2620 | 2014-11-06 |
| 1003211814 | Caprice Marjenin | Dentist | 1705 N Market St Ste 200, Frederick, MD 21701-4348 | 2014-10-23 |
| Find all providers in FREDERICK | ||||
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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.