BYRON BONEBREAK DMD LLC (NPI# 1447649900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447649900 |
| Entity Type | Organization |
| Organization Name | BYRON BONEBREAK DMD LLC |
| Practice Address |
100 Harborview Dr Unit 1309 Baltimore MD 21230-5415 |
| Practice Telephone | 4439565814 |
| Practice Fax Number | 4107797775 |
| Mailing Telephone | 4439565814 |
| Mailing Fax Number | 4107797775 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | DR. DAVID BONEBREAK (ASSOCIATE) |
| Authorized Official Telephone | 4439565814 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6368 | MD | Ambulatory Health Care Facilities |
| Street Address |
100 HARBORVIEW DR UNIT 1309 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21230-5415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739558 | Margaret Webb | Registered Nurse | Medstar Health, 1420 Key Highway, Baltimore, MD 21230 | 2020-10-27 |
| 1497381263 | Hawkes Counseling Services | Counselor | 837 Washington Blvd, Suite B, Baltimore, MD 21230 | 2020-03-12 |
| 1821570011 | Lisa Le | Social Worker | 1623 Covington St, Baltimore, MD 21230 | 2018-09-04 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1144745068 | Charles Billingsley | Counselor | 909 W Barre St, Baltimore, MD 21230 | 2017-08-11 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1952775389 | Courtney Schwalbe | Speech-Language Pathologist | 600 S Paca Street, Baltimore, MD 21230 | 2015-11-23 |
| 1093071920 | Glass Health Programs, Inc | Clinic/Center | 1801 Cherry Hill Rd, Baltimore, MD 21230 | 2012-04-04 |
| 1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
| 1487980280 | Ife A Thompson | Physician Assistant | 601 S. Charles Street, Baltimore, MD 21230 | 2009-10-29 |
| Find all providers in zip 21230 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983001 | Raksha Barnes Dmd LLC | Clinic/Center | 838 S Conkling St, Baltimore, MD 21224-4303 | 2019-10-15 |
| 1497228936 | James D Perkins Dds LLC | Clinic/Center | 4000 Annapolis Rd Rear 101, Baltimore, MD 21227-3611 | 2019-01-08 |
| 1255819470 | Sumanya Venkat Rao Dds PC | Clinic/Center | 3635 Old Court Rd Ste 510, Baltimore, MD 21208-3916 | 2018-07-31 |
| 1558867481 | Jones Falls Dental LLC | Clinic/Center | 2 Hamill Rd Ste 265, Baltimore, MD 21210-1885 | 2018-03-31 |
| 1649729724 | Marie Johnson, Dds, Lls | Clinic/Center | 115 S Wolfe St, Baltimore, MD 21231-1915 | 2016-09-29 |
| 1104271279 | Belvedere Square Dental LLC | Clinic/Center | 14 Ruby Field Ct, Baltimore, MD 21209-1559 | 2016-04-26 |
| 1992180012 | Andrew Fried, Dmd LLC | Clinic/Center | 9712 Belair Road, Suite 304, Baltimore, MD 21236 | 2015-07-30 |
| 1205013554 | Bright Smiles, P.a. | Clinic/Center | 4115 Wilkens Ave Ste 101, Baltimore, MD 21229-4750 | 2008-01-29 |
| 1396727681 | Ned S Greenberg Dds Pa | Clinic/Center | 2100 Eastern Blvd, Baltimore, MD 21220-4704 | 2005-11-14 |
| 1942202692 | Kernan Dentistry | Clinic/Center | 2200 Kernan Dr, Dental Suite T500, Baltimore, MD 21207-6665 | 2005-08-12 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on BYRON BONEBREAK DMD LLC.
| 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.