DR. DAVID M. VIETH 2, PC (NPI# 1073774022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073774022 |
| Entity Type | Organization |
| Organization Name | DR. DAVID M. VIETH 2, PC |
| Other Organization Name | KOOL SMILES |
| Practice Address |
2429 Frederick Ave Baltimore MD 21223-2856 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 4439571615 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | DR. DAVID VIETH (OWNER) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| KOOL SMILES | Doing Business As Name - Organization |
| Porter Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083992754 | Dr. David M. Vieth 2, PC | Dentist | 5700 Ritchie Hwy, Brooklyn, MD 21225-3641 | 2011-07-29 |
| 1770808289 | Dr. David M. Vieth 2, PC | Dentist | 406 N Fruitland Blvd, Salisbury, MD 21801-7261 | 2010-03-29 |
| 1376775510 | Dr. David M. Vieth 2, PC | Dentist | 7839 Eastpoint Mall Ste 7842, Baltimore, MD 21224-2116 | 2009-08-21 |
| 1235364845 | Dr. David M. Vieth 2, PC | Dentist | 4173 Patterson Ave, Baltimore, MD 21215-2221 | 2009-05-27 |
| Street Address |
2429 FREDERICK AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21223-2856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093296550 | Allison Denise Raymond | Dentist | 2429 Frederick Ave, Baltimore, MD 21223-2856 | 2018-08-23 |
| 1831452648 | Irene Ebunoluwa Apata | Dentist | 2429 Frederick Ave, Baltimore, MD 21223-2856 | 2012-06-18 |
| 1174811855 | Tsebaot Indrias | Dentist | 2429 Frederick Ave, Baltimore, MD 21223-2856 | 2011-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
| 1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
| 1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
| 1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
| 1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
| 1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
| 1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
| 1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
| Find all providers in zip 21223 | ||||
| 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.