LANDMARK DENTAL LLC (NPI# 1346746989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346746989 |
Entity Type | Organization |
Organization Name | LANDMARK DENTAL LLC |
Practice Address |
122 N Philadelphia Blvd Aberdeen MD 21001-2513 |
Practice Telephone | 4433451246 |
Practice Fax Number | 4433451248 |
Enumeration Date | 2018-04-03 |
Last Update Date | 2018-04-03 |
Authorized Official Name | ALI KHAYYER (OWNER) |
Authorized Official Telephone | 7033006503 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
16613 | MD | Ambulatory Health Care Facilities |
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 |
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 |
1245475243 | Renner Dental Management LLC. | Dentist | 122 N Philadelphia Blvd, Aberdeen, MD 21001-2513 | 2008-12-05 |
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 | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073137766 | Amy M. Scepaniak Dds PC | Clinic/Center | 25 Fouberg St S, Aberdeen, SD 57401-5255 | 2020-05-29 |
1528623709 | Adam P Cramer Pllc | Clinic/Center | 104 W 4th St, Aberdeen, WA 98520-3932 | 2019-05-03 |
1861724809 | Maryland Family Dental | Clinic/Center | 122 N Philadelphia Blvd, Aberdeen, MD 21001-2513 | 2010-02-01 |
1205085602 | Jacobs Family Dentistry, PC | Clinic/Center | 701 N 4th St, Suite 100, Aberdeen, SD 57401-2727 | 2008-09-10 |
1003993544 | Aberdeen Dental Associates | Clinic/Center | 216 Se 6th Ave, Aberdeen, SD 57401-6148 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760099782 | Michael Chang Dds PC | Clinic/Center | 16220 Frederick Rd Ste 315, Gaithersburg, MD 20877-4020 | 2020-09-24 |
1720694466 | Rouchon Dental | Clinic/Center | 3930 Knowles Ave Ste 302, Kensington, MD 20895-2428 | 2020-09-18 |
1013522184 | Niu Dentistry Towson LLC | Clinic/Center | 7801 York Rd Ste 307, Towson, MD 21204-7449 | 2020-09-15 |
1245844851 | Green Dentistry, LLC | Clinic/Center | 8611 2nd Ave Ste 201, Silver Spring, MD 20910-6349 | 2020-09-01 |
1386256931 | B. Casey Crafton Dds Ms PC | Clinic/Center | 10380 Old Columbia Rd, Columbia, MD 21046-1882 | 2020-08-17 |
1407474380 | Russell Park Dental Care, LLC | Clinic/Center | 963 Russell Ave Ste A, Gaithersburg, MD 20879-3287 | 2020-07-08 |
1992324750 | Richard L Rogers Dds Pa | Clinic/Center | 2100 Old Farm Dr Ste 1f, Frederick, MD 21702-9494 | 2020-04-13 |
1689206278 | Specialists In Orthodontics of Maryland 2, Pllc | Clinic/Center | 888 Bestgate Rd Ste 301, Annapolis, MD 21401-2955 | 2020-02-11 |
1730726449 | Sammy Noumbissi Dds Pa | Clinic/Center | 801 Wayne Ave Ste G200, Silver Spring, MD 20910-4450 | 2019-12-02 |
1811533839 | Dosh Dental, LLC | Clinic/Center | 3905 National Dr Ste 340, Burtonsville, MD 20866-6111 | 2019-11-25 |
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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.