DR. MICHAEL LARRY DAVIDSON (NPI# 1538172903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538172903 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LARRY DAVIDSON |
| Credential | D.D.S. |
| Practice Address |
516 N Rolling Rd Suite 207 Baltimore MD 21228-4140 |
| Practice Telephone | 4107478029 |
| Practice Fax Number | 4107475140 |
| Mailing Telephone | 4107478029 |
| Mailing Fax Number | 4107475140 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
06995 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982977047 | Michael Jay Davidson | Internal Medicine | 5581 Coach House Circle, #a, Boca Raton, FL 33486-8676 | 2012-02-20 |
| 1790927705 | Michael W Davidson | Psychologist | 154 Timber Creek Dr Ste 4, Cordova, TN 38018-4252 | 2009-04-06 |
| 1255480018 | Michael Davidson | Physician Assistant | Cmr 411 Box 2211, Apo, AE 09112 | 2007-01-10 |
| 1235176009 | Michael J Davidson | Dentist | 4770 Sunrise Hwy, Suite 102, Massapequa Park, NY 11762-2911 | 2006-06-01 |
| 1528697786 | Michael Thomas Davidson | Student in an Organized Health Care Education/Training Program | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-04-08 |
| 1851921928 | Michael Davidson | Nurse Practitioner | 5414 Town N Country Blvd, Tampa, FL 33615-4120 | 2020-01-17 |
| 1912541566 | Michael Davidson | Social Worker | 1104 Main St Ste M110, Vancouver, WA 98660-2980 | 2019-11-06 |
| 1003459090 | Michael D Davidson | Counselor | 201 E Lincoln Ave Ste 100, Yakima, WA 98901-2348 | 2019-10-22 |
| 1497231963 | Michael Davidson | Dentist | 9365 Olde 8 Rd, Northfield, OH 44067-2052 | 2018-07-17 |
| 1083009203 | Michael Davidson | Dentist | 19 Legion Dr, Bergenfield, NJ 07621-2314 | 2015-04-03 |
| Street Address |
516 N ROLLING RD SUITE 207 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21228-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223132 | Paul Sangtaek Yi | Dentist | 516 N Rolling Rd, Ste 102, Baltimore, MD 21228-4141 | 2005-05-23 |
| 1609480870 | Greenland Behavioral Health, LLC | Nurse Practitioner | 516 N Rolling Rd, Baltimore, MD 21228-4140 | 2020-09-03 |
| 1295170074 | Lifebridge Community Physicians, Inc | Internal Medicine | 516 N Rolling Rd, Baltimore, MD 21228-4140 | 2013-05-07 |
| 1245355312 | David C Bastacky Dmd Pa | Dentist | 516 N Rolling Rd, Suite 104, Baltimore, MD 21228-4140 | 2007-03-20 |
| 1932136413 | Katherine Rickle Payne | Physical Therapist | 516 N Rolling Rd, Suite 302, Baltimore, MD 21228-4140 | 2006-06-28 |
| 1356390108 | Mid-atlantic Nephrology Associates Pa | Internal Medicine | 516 N Rolling Rd, Suite 304, Baltimore, MD 21228-4140 | 2006-05-09 |
| 1164429387 | David C Bastacky | Oral & Maxillofacial Surgery | 516 N Rolling Rd, Suite 104, Baltimore, MD 21228-4140 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1063050714 | Benjamin Franklin Shelton | Dentist | 1501 E 33rd St, Baltimore, MD 21218-3706 | 2019-12-12 |
| 1093351314 | Anna Finkler Dds LLC | Dentist | 4 Reservoir Cir Ste 100, Baltimore, MD 21208-6360 | 2019-11-21 |
| 1528626447 | Healthy Dental of Baltimore LLC | Dentist | 2103 W Patapsco Ave, Baltimore, MD 21230-2946 | 2019-06-05 |
| 1851857668 | Laura Carvalho Kim | Dentist | 2 Hopkins Plz Unit 1511, Baltimore, MD 21201-2942 | 2019-02-17 |
| 1720560733 | Eugene Jang | Dentist | 5710 Bellona Ave Ste 101, Baltimore, MD 21212-3500 | 2018-09-06 |
| 1861985434 | Dana R. Weikel | Dentist | 650 W Baltimore St Fl 7, Baltimore, MD 21201-1510 | 2018-06-08 |
| 1518460062 | Dental Dreams, LLC | Dentist | 6532 Reisterstown Rd, Baltimore, MD 21215-2304 | 2018-03-12 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1073025177 | Ward Levingston Massey | Dentist | 650 W Baltimore St Rm 3-201, Baltimore, MD 21201-1510 | 2017-10-30 |
| Find all providers in BALTIMORE | ||||
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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.