DR. SHARON ELAINE REYNOLDS LUNDGREN (NPI# 1225052582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225052582 |
| Entity Type | Individual |
| Full Name | DR. SHARON ELAINE REYNOLDS LUNDGREN |
| Credential | D.D.S. |
| Practice Address |
2104 Trimble Rd Edgewood MD 21040-3119 |
| Mailing Address |
2104 Trimble Rd P.o. Box 696 Edgewood MD 21040-3119 |
| Practice Telephone | 4106765252 |
| Practice Fax Number | 4106794068 |
| Mailing Telephone | 4106765252 |
| Mailing Fax Number | 4106794068 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
09186 | MD | Dental Providers |
| Street Address |
2104 TRIMBLE RD |
| City | EDGEWOOD |
| State | MD |
| Zip Code | 21040-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841455615 | Jack K. Reynolds Dds Pa | Oral & Maxillofacial Surgery | 2104 Trimble Rd, Edgewood, MD 21040-3126 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028458 | Alycia Covelly | Counselor | 2415 Willoughby Beach Rd, Edgewood, MD 21040 | 2018-06-29 |
| 1558885491 | Kenneth J Heil Jr. | Physical Therapist | 1401f Pulaski Highway, Edgewood, MD 21040 | 2017-08-02 |
| 1952845810 | Caroline Njane | Registered Nurse | 835 Clover Leaf Ct, Edgewood, MD 21040 | 2016-12-12 |
| 1003368945 | Rts Edgewood | Clinic/Center | 2205 Pulaski Hwy, Edgewood, MD 21040 | 2016-10-26 |
| 1194133033 | Dante Winter | Pharmacist | 1301 Woodbridge Center Way, Edgewood, MD 21040 | 2014-07-23 |
| 1841469723 | Rafiq Patel M D P A | General Practice | 1952 Pulaski Highway, Edgewood, MD 21040 | 2008-02-26 |
| 1871793877 | Nichols Shelter Home for Elderly | Health Maintenance Organization | 1111 Hanson Rd., Edgewood, MD 21040 | 2007-07-19 |
| 1467505362 | William N Bernhard | Preventive Medicine | 2624 Fairview Pt Rd. Bldg E 6814, Aviation Medicine Clinic, Edgewood (apg), MD 21040 | 2007-01-22 |
| 1417006503 | Phoenix Recovery Center Inc | Clinic/Center | 107 Edgewood Rd, Edgewood, MD 21040 | 2007-01-09 |
| 1093886848 | Fernando Jose Narava | Dentist | 9690 Deereco, Suite 120, Timonium, MD 21040 | 2006-11-13 |
| Find all providers in zip 21040 | ||||
| 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 |
|---|---|---|---|---|
| 1639712797 | Dan Roberts, Dmd, Pllc | Dentist | 2603 110th Ave E, Edgewood, WA 98372-1846 | 2019-10-22 |
| 1740775022 | Zachcurriedds LLC | Dentist | 1851 Old Us 66 Ste C, Edgewood, NM 87015-6784 | 2018-06-28 |
| 1669885398 | Cory Matthew Middendorf | Dentist | 155 Barnwood Drive, Suite 1, Edgewood, KY 41017 | 2014-06-10 |
| 1548389422 | Timothy Gerald Hardtke | Dentist | 2222 Meridian Ave E, Suite C, Edgewood, WA 98371-1032 | 2007-03-29 |
| 1942328364 | Peter Hamilton Roth | Dentist | 1308 Business Center Way, Suite 105, Edgewood, MD 21040-1504 | 2007-03-26 |
| 1396870861 | Stephen L Harrington | Dentist | 1851 Old Hwy 66, Suite C, Edgewood, NM 87015 | 2007-02-23 |
| 1609901172 | Suzanne Mcginty | Dentist | 1917 Old Hwy 66, St. A, Edgewood, NM 87015 | 2007-02-23 |
| 1205971082 | Kevin Robert Mcmahon | Dentist | 155 Barnwood Dr, Suite 1, Edgewood, KY 41017-2585 | 2007-02-20 |
| 1194736363 | Keavin G Mcintosh | Dentist | 2511 Meridian Ave E, Edgewood, WA 98371-2164 | 2006-08-11 |
| 1316917495 | Edgewood Family Dentistry | Dentist | 1917 Old Highway 66, Edgewood, NM 87015-0000 | 2006-01-23 |
| Find all providers in EDGEWOOD | ||||
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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.