TIMONIUM DENTAL & SPECIALTY LLC (NPI# 1508399080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508399080 |
| Entity Type | Organization |
| Organization Name | TIMONIUM DENTAL & SPECIALTY LLC |
| Other Organization Name | BLUEPOINTE DENTAL (TIMONIUM) |
| Practice Address |
2135 York Rd Ste A Timonium MD 21093-3137 |
| Mailing Address |
46 Vreeland Dr Ste 6 Skillman NJ 08558-2638 |
| Practice Telephone | 4109109641 |
| Mailing Telephone | 6092529000 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | BRYAN FITZGERALD (OWNER) |
| Authorized Official Telephone | 4109109641 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| BluePointe Dental (Timonium) | Doing Business As Name - Organization |
| Street Address |
2135 YORK RD STE A |
| City | TIMONIUM |
| State | MD |
| Zip Code | 21093-3137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275044372 | Lynn R Chincheck, Dds | Dentist | 9475 Deereco Rd Ste 402, Timonium, MD 21093-2124 | 2017-10-16 |
| 1457769028 | Bo R Kim | Dentist | 1205 York Rd Ste 25a, Timonium, MD 21093-6238 | 2014-07-28 |
| 1215062351 | Paul William Karpovich | Dentist | One Texas Station Court, Suite 110, Timonium, MD 21093-8287 | 2007-02-22 |
| 1366588238 | Rick Allen Jones | Dentist | 2300 York Road, Suite 210, Timonium, MD 21093 | 2007-01-29 |
| 1568533230 | Gunnar Fisher Dentistry | Dentist | 20 E Timonium Rd Ste 210, Timonium, MD 21093-3456 | 2006-11-13 |
| 1508947284 | Tracy Austin Bowden | Dentist | 2326 York Rd, Suite 200, Timonium, MD 21093-2266 | 2006-10-18 |
| 1033213491 | Dong S Kim Dmd PC | Dentist | 100 W Padonia Rd, #2-e, Timonium, MD 21093 | 2006-09-07 |
| 1780174243 | Thomas Joseph Swauger | Dentist | 110 W Timonium Rd, Timonium, MD 21093-7300 | 2018-05-10 |
| 1639542764 | Timonium Family Dentistry | Dentist | 22 W Padonia Rd, Suite 232, Timonium, MD 21093-2226 | 2015-11-11 |
| 1013397959 | Jocelyn C Ocampo | Dentist | 110 W Timonium Rd, Timonium, MD 21093-7300 | 2015-06-05 |
| Find all providers in TIMONIUM | ||||
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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.