MD-SG DENTAL, LLC


Address: 1730 Massey Blvd Ste 106, Hagerstown, MD 21740-6973
Phone: 8662738204

MD-SG DENTAL, LLC (NPI# 1285075358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285075358
Entity Type Organization
Organization Name MD-SG DENTAL, LLC
Other Organization Name ASPEN DENTAL
Practice Address 1730 Massey Blvd Ste 106
Hagerstown
MD 21740-6973
Mailing Address Po Box 3189
Syracuse
NY 13220-3189
Practice Telephone 8662738204
Mailing Telephone 8662738204
Mailing Fax Number 8668034943
Enumeration Date 2013-07-17
Last Update Date 2014-04-15
Authorized Official Name SHEKHAR GUPTA (OWNER DENTIST)
Authorized Official Telephone 3018007041
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
15311 MD Dental Providers

Other Provider/Organization Names

Other Name Type Code
Aspen Dental Doing Business As Name - Organization

Office Location

Street Address 1730 MASSEY BLVD STE 106
City HAGERSTOWN
State MD
Zip Code 21740-6973

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740839075 Parmender S Chamber Dentist 1730 Massey Blvd Ste 106, Hagerstown, MD 21740-6973 2019-09-09

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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740706324 Michael E. Anderson, Dds, PC Dentist 18709 Crestwood Drive, Hagerstown, MD 21742 2017-08-16
1548652993 Smithfield Farm Dentures and Dentistry Dentist 12066 Smithfield Farm Ln, Hagerstown, MD 21740-2166 2015-02-23
1508298993 Preetinder Kaur Aulakh Dentist 1329 Pennsylvania Ave Ste 201, Hagerstown, MD 21742-3110 2013-08-07
1154622173 Phyllis A. Colombaro Dentist 1185 Mt. Aetna Rd., Suite 200, Hagerstown, MD 21740-6832 2010-11-08
1992016075 James B Burley Dentist 1115 Mount Aetna Rd, Hagerstown, MD 21740-6806 2010-06-23
1831414275 Judith A Emmert Dentist 638 Potomac Ave, Hagerstown, MD 21740-3838 2010-03-29
1346579570 Richard Bain Prather IIi Dentist 222 E. Oak Ridge Dr, Suite 700, Hagerstown, MD 21740 2009-12-17
1518110683 Todd P. Eckel Dentist 704 Oak Hill Ave, Hagerstown, MD 21740-3887 2008-11-03
1689859761 Allan Isaac Seidman Dentist 18638 Crestwood Dr, Hagerstown, MD 21742 2008-01-08
1891991451 David C Grimm Dentist 17719 Virginia Ave, Hagerstown, MD 21740-7085 2007-06-21
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Competitor

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City HAGERSTOWN
Zip Code 21740

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Dataset Information

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.

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