DR. JON EDMONDSON (NPI# 1023185006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023185006 |
| Entity Type | Individual |
| Full Name | DR. JON EDMONDSON |
| Credential | D.D.S. |
| Practice Address |
3100 Lord Baltimore Dr Suite 210 Baltimore MD 21244-2879 |
| Practice Telephone | 4109449090 |
| Practice Fax Number | 4109445119 |
| Mailing Telephone | 4109449090 |
| Mailing Fax Number | 4109445119 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11146 | MD | Dental Providers |
| Street Address |
3100 LORD BALTIMORE DR SUITE 210 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21244-2879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992225411 | Mark A Bernard | Counselor | 3100 Lord Baltimore Dr, Baltimore, MD 21244-2879 | 2017-06-26 |
| 1396127585 | Jon E Edmondson D.d.s., P.a. | Dentist | 3100 Lord Baltimore Dr, Suite 210, Baltimore, MD 21244-2879 | 2015-06-24 |
| 1114234267 | Joseph A. Nkwanyuo, M.d., P.C. | Internal Medicine | 3100 Lord Baltimore Dr, Suite 108, Baltimore, MD 21244-2879 | 2010-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| 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 |
|---|---|---|---|---|
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1063050714 | Benjamin Franklin Shelton | Dentist | 1501 E 33rd St, Baltimore, MD 21218-3706 | 2019-12-12 |
| 1093351314 | Anna Finkler Dds LLC | Dentist | 4 Reservoir Cir Ste 100, Baltimore, MD 21208-6360 | 2019-11-21 |
| 1528626447 | Healthy Dental of Baltimore LLC | Dentist | 2103 W Patapsco Ave, Baltimore, MD 21230-2946 | 2019-06-05 |
| 1851857668 | Laura Carvalho Kim | Dentist | 2 Hopkins Plz Unit 1511, Baltimore, MD 21201-2942 | 2019-02-17 |
| 1720560733 | Eugene Jang | Dentist | 5710 Bellona Ave Ste 101, Baltimore, MD 21212-3500 | 2018-09-06 |
| 1861985434 | Dana R. Weikel | Dentist | 650 W Baltimore St Fl 7, Baltimore, MD 21201-1510 | 2018-06-08 |
| 1518460062 | Dental Dreams, LLC | Dentist | 6532 Reisterstown Rd, Baltimore, MD 21215-2304 | 2018-03-12 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1073025177 | Ward Levingston Massey | Dentist | 650 W Baltimore St Rm 3-201, Baltimore, MD 21201-1510 | 2017-10-30 |
| Find all providers in BALTIMORE | ||||
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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.