RENNER DENTAL MANAGEMENT LLC. (NPI# 1245475243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245475243 |
| Entity Type | Organization |
| Organization Name | RENNER DENTAL MANAGEMENT LLC. |
| Other Organization Name | ADVANCED DENTAL CARE LLC. |
| Practice Address |
122 N Philadelphia Blvd Aberdeen MD 21001-2513 |
| Practice Telephone | 4102722636 |
| Practice Fax Number | 4102728587 |
| Mailing Telephone | 4102722636 |
| Mailing Fax Number | 4102728587 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | DR. KERRY CROCKEN (OWNER) |
| Authorized Official Telephone | 4102722636 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
134220345 | MD | Dental Providers |
| Other Name | Type Code |
|---|---|
| Advanced Dental Care LLC. | Doing Business As Name - Organization |
| Street Address |
122 N PHILADELPHIA BLVD |
| City | ABERDEEN |
| State | MD |
| Zip Code | 21001-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295918837 | Kerry Francis Crocken | Dentist | 122 N Philadelphia Blvd, Route 40, Aberdeen, MD 21001-2513 | 2007-12-05 |
| 1346746989 | Landmark Dental LLC | Clinic/Center | 122 N Philadelphia Blvd, Aberdeen, MD 21001-2513 | 2018-04-03 |
| 1871834234 | Hyperion Dental Management, LLC | Dentist | 122 N Philadelphia Blvd, Aberdeen, MD 21001-2513 | 2013-03-11 |
| 1144584442 | Aaron Richard Tosky | Dentist | 122 N Philadelphia Blvd, Aberdeen, MD 21001-2513 | 2012-07-02 |
| 1255629580 | Alpha Dental Excellence | Dentist | 122 N Philadelphia Blvd, Aberdeen, MD 21001-2513 | 2011-07-20 |
| 1861724809 | Maryland Family Dental | Clinic/Center | 122 N Philadelphia Blvd, Aberdeen, MD 21001-2513 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269197 | Alphonsa Abdul Rahman | Clinical Nurse Specialist | 1386 Tralee Cir, Aberdeen, MD 21001 | 2020-09-09 |
| 1861983207 | Chelsea Mann | Counselor | 1013 Beards Hill Road, Suite 101 Pmb191, Aberdeen, MD 21001 | 2018-05-22 |
| 1558876227 | Lauren Neubauer | Behavioral Analyst | 4513 Philadelphia Rd, Aberdeen, MD 21001 | 2017-12-04 |
| 1811407398 | Trisha Abbey | Social Worker | 1326 Tralee Circle, None, Aberdeen, MARYLAND 21001 | 2017-10-10 |
| 1073914487 | Sm Health, LLC | Registered Nurse | 780 W Bel Air Ave Ste C, Aberdeen, MD 21001 | 2014-09-05 |
| 1073932752 | Ars of Aberdeen LLC | Clinic/Center | 24-26 West Bel Air Ave, Aberdeen, MD 21001 | 2014-04-10 |
| 1952643421 | Advocate Health Services,llc | Community/Behavioral Health | 37 North Philadelphia Blvd, Aberdeen, MD 21001 | 2013-03-22 |
| 1669721098 | Brenda Lynn Merrill | Counselor | 135 N. Parke Street, Aberdeen, MD 21001 | 2012-08-30 |
| 1316237092 | Rose Mary Hatem Bonsack | Family Medicine | 205 Hemlock La., Aberdeen, MD 21001 | 2011-04-14 |
| 1265754253 | Cynthia Sprague | Counselor | 1403 Pannell Dr Apt H, Aberdeen, MD 21001 | 2010-02-18 |
| Find all providers in zip 21001 | ||||
| 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 |
|---|---|---|---|---|
| 1972159143 | Junho Choi | Dentist | 3307 7th Ave Se Ste 108, Aberdeen, SD 57401-6614 | 2019-08-14 |
| 1346794153 | Fettig and Drake Dds PC | Dentist | 1409 6th Ave Se Ste 8, Aberdeen, SD 57401-4950 | 2016-08-10 |
| 1649654237 | Sd Dental Austriaco PC | Dentist | 3307 7th Ave Se, Suite 108, Aberdeen, SD 57401-6613 | 2015-07-14 |
| 1851775514 | Harbor Kids Dental Pllc | Dentist | 216 W Heron St, Aberdeen, WA 98520-6225 | 2015-07-13 |
| 1295032969 | George M. Whitehead D.d.s., Ps | Dentist | 222 East First Street, Suite B, Aberdeen, WA 98520 | 2011-02-16 |
| 1750609822 | Robert Joseph Benzell | Dentist | 18 W Aspen Way, Aberdeen, NJ 07747-1905 | 2010-05-13 |
| 1538394937 | Ryan Pannorfi | Dentist | 1323 Highway 34, Aberdeen, NJ 07747-1954 | 2009-05-28 |
| 1932364015 | Amy M Scepaniak | Dentist | 216 6th Ave Se, Aberdeen, SD 57401-6148 | 2008-07-28 |
| 1801066493 | James Pearson Mcvaugh | Dentist | 138 N Meridian St, Aberdeen, MS 39730-2636 | 2008-03-10 |
| 1518088368 | Dennis Paul Carr | Dentist | 15 S Parke St, Suite 100, Aberdeen, MD 21001-4520 | 2007-04-02 |
| Find all providers in ABERDEEN | ||||
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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.