DR. LISA J SHOFF (NPI# 1275824732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275824732 |
| Entity Type | Individual |
| Full Name | DR. LISA J SHOFF |
| Credential | DMD |
| Practice Address |
6550 Mercantile Dr E Ste 201 Frederick MD 21703-7657 |
| Practice Telephone | 2406515478 |
| Mailing Telephone | 2406515478 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS037646 | PA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
17175 | MD | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
10938 | NC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1240 Magnolia Village Way, Leland, NC 284519464 | 9102568486 | 9102568449 |
| Street Address |
6550 MERCANTILE DR E STE 201 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-7657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821222696 | Melanie Towe | Dentist | 607 W 2nd St, Frederick, MD 21701-4830 | 2009-05-08 |
| 1942659057 | Frederick Periodontal Associates | Dentist | 130 Thomas Johnson Dr, Suite 6, Frederick, MD 21702-4419 | 2016-06-09 |
| 1285859611 | John Joseph Golski | Dentist | 174 Thomas Johnson Dr, Ste.101, Frederick, MD 21702-4423 | 2007-04-13 |
| 1912046814 | Charles Ira Knapp | Dentist | 174 Thomas Johnson Dr, 101, Frederick, MD 21702-4423 | 2007-02-06 |
| 1588760607 | Dr Behnaz Yalda Inc | Dentist | 77 Thomas Johnson Dr, Suite D, Frederick, MD 21702 | 2006-09-16 |
| 1477659571 | Behnaz Yalda | Dentist | 77 Thomas Johnson Dr, Suite D, Frederick, MD 21702 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702133 | Hirschel Wohl | Dentist | 2021b Emmorton Rd Ste 118, Bel Air, MD 21015-8958 | 2020-08-26 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1508386772 | David A Mugford Dmd Pa | Dentist | 1660 Village Grn # 104, Crofton, MD 21114-2033 | 2017-06-20 |
| 1407396369 | Gonzalo Blasi | Dentist | 305 W Fayette St Apt 1412, Baltimore, MD 21201-3466 | 2017-02-26 |
| 1790149052 | Kevin George Murphy | Dentist | 6080 Falls Rd #202, Baltimore, MD 21209-2498 | 2016-04-12 |
| 1124410741 | Andres Jimenez Wolf | Dentist | 13975 Connecticut Ave Ste 311, Silver Spring, MD 20906-2921 | 2015-02-19 |
| 1558610444 | Mary Gray Lee | Dentist | 6080 Falls Road, Suite 202, Baltimore, MD 21209 | 2012-09-06 |
| 1063760486 | Rei Sekiguchi | Dentist | 9000 Rockville Pike Bldg 30, Bethesda, MD 20892-4370 | 2012-08-15 |
| 1811244627 | Kim-thi Van-dinh | Dentist | 3801 Canterbury Rd, Unit 407, Baltimore, MD 21218-2370 | 2012-08-10 |
| 1770858730 | Hyung Jin Bae | Dentist | 16069 Comprint Cir, Gaithersburg, MD 20877-1321 | 2012-03-09 |
| Find all providers with the same taxonomy | ||||
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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.