TOM FENLON DDS PC (NPI# 1548638430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548638430 |
| Entity Type | Organization |
| Organization Name | TOM FENLON DDS PC |
| Practice Address |
12800 Frederick Rd Suite 102 West Friendship MD 21794-9564 |
| Mailing Address |
Po Box 340 West Friendship MD 21794-0340 |
| Practice Telephone | 4104422800 |
| Mailing Telephone | 4104422800 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | THOMAS J FENLON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4104422800 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
5942 | MD | Suppliers |
| Street Address |
12800 FREDERICK RD SUITE 102 |
| City | WEST FRIENDSHIP |
| State | MD |
| Zip Code | 21794-9564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801920129 | Thomas J Fenlon | Dentist | 12800 Frederick Rd, Suite 102, West Friendship, MD 21794-9564 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477899383 | Clark Raymond Mollenhoff IIi | Acupuncturist | 13534 Julia Manor Way, West Friendship, MD 21794-9219 | 2012-12-20 |
| 1942621586 | Rizwan Lakhani | Acupuncturist | 13534 Julia Manor Way, West Friendship, MD 21794-9219 | 2013-12-29 |
| 1902207400 | Judith Roark | Counselor | 2675 Pfefferkorn Rd, West Friendship, MD 21794-9417 | 2014-09-16 |
| 1487128542 | Lisa Madoff Townsend | Speech-Language Pathologist | 12500 Frederick Rd, West Friendship, MD 21794-9509 | 2019-01-11 |
| 1285821033 | Kathleen M. Green | Physical Therapist | 2700 Wynfield Rd, West Friendship, MD 21794-9519 | 2007-09-26 |
| 1407880131 | Sandra M. Nettina | Nurse Practitioner | 2760 Wynfield Rd, West Friendship, MD 21794-9519 | 2006-07-10 |
| 1548658438 | Prime Care House Calls PC | Clinic/Center | 2760 Wynfield Rd, West Friendship, MD 21794-9519 | 2014-12-31 |
| 1891198453 | Alydan, LLC | Clinic/Center | 13125 Fox Path Ln, West Friendship, MD 21794-9536 | 2014-09-26 |
| 1023569787 | Wendy Blackston | Pharmacist | 3101 Fox Valley Dr, West Friendship, MD 21794-9543 | 2016-10-18 |
| 1639647779 | Katie Besche | Social Worker | 12800 Frederick Rd Ste 201, West Friendship, MD 21794-9564 | 2018-11-07 |
| Find all providers in zip 21794 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847443 | Koulward Health LLC Population Health Pharmacy | Durable Medical Equipment & Medical Supplies | 7505 Osler Dr Ste 102, Towson, MD 21204-7737 | 2020-07-02 |
| 1790307767 | Jymesha Yapelle Beauty, LLC | Durable Medical Equipment & Medical Supplies | 11224 Snethen Church Rd, Mardela Spgs, MD 21837-2259 | 2020-05-13 |
| 1770123986 | Mark Locklear | Durable Medical Equipment & Medical Supplies | 154 Pine Tree Rd, Ocean City, MD 21842-4646 | 2020-01-15 |
| 1023578366 | Tylar Hallman | Durable Medical Equipment & Medical Supplies | 12290 Greenmedow Drive, 117, Columbia, MD 21042-1044 | 2019-03-22 |
| 1952868069 | All Out Techs LLC | Durable Medical Equipment & Medical Supplies | 529 Reading Ter, Hyattsville, MD 20785-5921 | 2019-02-25 |
| 1619433604 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 8039 Penn Randall Pl Ste A, Upper Marlboro, MD 20772-2650 | 2019-02-14 |
| 1174023329 | Tmj Facial Pain Center LLC | Durable Medical Equipment & Medical Supplies | 7600 Osler Dr Ste 306, Towson, MD 21204-7702 | 2018-02-14 |
| 1871091025 | Assistive Technology Professional's | Durable Medical Equipment & Medical Supplies | 5325 Beech Rd Ste 23, Temple Hills, MD 20748-1800 | 2018-01-23 |
| 1386152320 | David B Lee Dds Pa | Durable Medical Equipment & Medical Supplies | 9256 Bendix Rd Ste 202, Columbia, MD 21045-1848 | 2018-01-11 |
| 1447775333 | Paul Alexander | Durable Medical Equipment & Medical Supplies | 3804 Swann Rd, Suitland, MD 20746-2236 | 2017-08-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST FRIENDSHIP |
| Zip Code | 21794 |
Please comment or provide details below to improve the information on TOM FENLON DDS PC.
| 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.