DIAMOND DENTAL OF OWINGS MILLS, LLC (NPI# 1083004519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083004519 |
| Entity Type | Organization |
| Organization Name | DIAMOND DENTAL OF OWINGS MILLS, LLC |
| Practice Address |
9419 Common Brook Rd Suite 210 Owings Mills MD 21117-7536 |
| Practice Telephone | 4433942273 |
| Practice Fax Number | 4433943450 |
| Mailing Telephone | 4433942273 |
| Mailing Fax Number | 4433943450 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | DR. MONICA MARIE MATTSON (DENTIST) |
| Authorized Official Telephone | 4433942273 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13433 | MD | Dental Providers |
| Street Address |
9419 COMMON BROOK RD SUITE 210 |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407814486 | Royce Milton Fagan Jr. | Internal Medicine | 9419 Common Brook Rd, Suite 200, Owings Mills, MD 21117-7536 | 2006-05-01 |
| 1275923211 | Lechia Frederick | Nurse Practitioner | 9419 Common Brook Rd, Ste 208, Owings Mills, MD 21117-7570 | 2015-01-29 |
| 1205231610 | Julie Aviva Merrill | Physician Assistant | 9419 Common Brook Rd, Suite 200, Owings Mills, MD 21117-7536 | 2014-10-28 |
| 1689790412 | Biju Cyriac Dds, Pa | Dentist | 9419 Common Brook Rd, Suite 210, Owings Mills, MD 21117-7536 | 2007-03-22 |
| 1255461406 | Biju Cyriac | Dentist | 9419 Common Brook Rd, Suite 210, Owings Mills, MD 21117-7536 | 2007-03-06 |
| 1629127295 | Fagan Practice Associates LLC | Internal Medicine | 9419 Common Brook Rd, Ste 200, Owings Mills, MD 21117-7536 | 2007-01-10 |
| 1699790386 | Steven Schonfeld | Internal Medicine | 9419 Common Brook Rd, Suite 200, Owings Mills, MD 21117-7536 | 2006-07-13 |
| 1184657983 | Neosom East, LLC | Clinic/Center | 9419 Common Brook Rd, Owings Mills, MD 21117-7536 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| 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 |
|---|---|---|---|---|
| 1366933491 | George E Evans Dds Pa | Dentist | 10084 Reisterstown Rd Ste 200e, Owings Mills, MD 21117-4096 | 2018-05-24 |
| 1801397351 | Milner Associates, LLC | Dentist | 11155 Dolfield Blvd Ste 204, Owings Mills, MD 21117-3288 | 2018-02-21 |
| 1265880306 | Robert Toth | Dentist | 12608 Waterspout Ct, Owings Mills, MD 21117-1006 | 2016-05-31 |
| 1023422664 | Ai Khiem Vo | Dentist | 10995 Owings Mills Blvd Ste 218, Owings Mills, MD 21117-1030 | 2014-06-11 |
| 1205132966 | Dede Wiba Orraca-tetteh | Dentist | 9219 Lakeside Blvd, Owings Mills, MD 21117-3859 | 2011-01-28 |
| 1477705044 | Harry David Snydman | Dentist | 9704b Groffs Mill Dr, Owings Mills, MD 21117-6341 | 2008-10-15 |
| 1437360666 | Dmitry Nova | Dentist | 4 Park Center Ct Ste 201, Owings Mills, MD 21117-5614 | 2007-05-28 |
| 1114047289 | Mark R. Grebosky | Dentist | 111 Painters Mill Rd, Owings Mills, MD 21117-4938 | 2007-03-30 |
| 1215066097 | Harold Robert Mendelson | Dentist | 11300 Reisterstown Rd, Owings Mills, MD 21117-1812 | 2007-03-05 |
| 1932253119 | Stuart M Brown, Dds, Pa | Dentist | 10995 Owings Mills Blvd, Ste 218, Owings Mills, MD 21117-1019 | 2007-01-23 |
| Find all providers in OWINGS MILLS | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
Please comment or provide details below to improve the information on DIAMOND DENTAL OF OWINGS MILLS, LLC.
| 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.