DR. MARY TEDDY WRAY (NPI# 1629067475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629067475 |
| Entity Type | Individual |
| Full Name | DR. MARY TEDDY WRAY |
| Credential | DDS01 |
| Practice Address |
2111 Laurel Bush Rd Suite E Bel Air MD 21015-6156 |
| Mailing Address |
1412 Thorndon Dr Bel Air MD 21015-2104 |
| Practice Telephone | 4435128703 |
| Practice Fax Number | 4105151067 |
| Mailing Telephone | 4108386919 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10773 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104940980 | Mary E Wray | Naturopath | 21 Old Kings Rd N Ste 215, Palm Coast, FL 32137-8254 | 2007-03-19 |
| 1245785823 | Mary Wray | Physical Therapist | 502 W Broad St, Ste 2, Falls Church, VA 22046-3204 | 2016-08-24 |
| 1558618264 | Mary Katherine Wray | Physician Assistant | 325 Mcclellandtown Rd, Uniontown, PA 15401-5096 | 2012-08-13 |
| Street Address |
2111 LAUREL BUSH RD SUITE E |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015-6156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299966 | Siavash Sadeghi Sedigh | Dentist | 2111 Laurel Bush Rd, Bel Air, MD 21015-6156 | 2020-09-14 |
| 1174064752 | Jennifer L Mandel | Nurse Practitioner | 2111 Laurel Bush Rd, Suite H, Bel Air, MD 21015 | 2017-03-15 |
| 1720482698 | Julianne Johnson | Nurse Practitioner | 2111 Laurel Bush Rd, Bel Air, MD 21015-6156 | 2014-10-21 |
| 1578792784 | Jessica Zeller | Nurse Practitioner | 2111 Laurel Bush Rd, Suite H, Bel Air, MD 21015-6156 | 2009-07-09 |
| 1326180324 | Laurel Bush Family Dentistry | Dentist | 2111 Laurel Bush Rd, Ste E, Bel Air, MD 21015 | 2007-02-13 |
| 1962461293 | Paul Thomas Rogers | Pediatrics | 2111 Laurel Bush Rd, Suite H, Bel Air, MD 21015-6156 | 2006-03-23 |
| 1407815038 | Karla Montgomery Wagner | Pediatrics | 2111 Laurel Bush Rd, Suite H, Bel Air, MD 21015-6156 | 2006-03-22 |
| 1881663888 | Select Physical Therapy Holdings Inc | Clinic/Center | 2111 Laurel Bush Rd, Ste G, Bel Air, MD 21015-6156 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| 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 |
|---|---|---|---|---|
| 1144622739 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 703 Baltimore Pike, Bel Air, MD 21014-4209 | 2014-09-25 |
| 1619235371 | Victor James Lim | Dentist | 1201 Agora Dr Ste 2b, Bel Air, MD 21014-6859 | 2012-05-01 |
| 1093032617 | James Thomas Lamb IIi | Dentist | 1101 Hendrix Ct, Bel Air, MD 21014-2747 | 2010-04-21 |
| 1376872747 | George Basil Popowych | Dentist | 1708 E Churchville Rd, Bel Air, MD 21015-4806 | 2009-12-15 |
| 1740412030 | Churchville Family Dentistry | Dentist | 1402 E Churchville Rd, Bel Air, MD 21014-4708 | 2009-08-20 |
| 1245407063 | Gita R Patel | Dentist | 1301 E Churchville Rd, Bel Air, MD 21014-4760 | 2008-05-12 |
| 1417139767 | Steven C. Scherr, D.d.s. | Dentist | 522 Rock Spring Rd, Bel Air, MD 21014-2941 | 2007-11-28 |
| 1326240771 | Stephen M Cockey Dds Pa | Dentist | 754 Hickory Avenue, Bel Air, MD 21014 | 2007-06-05 |
| 1295936680 | Alfred J Liszewski | Dentist | 724 Rock Spring Rd, Bel Air, MD 21014-2945 | 2007-05-31 |
| 1245441625 | Bel Air Dental Associates | Dentist | 10 W. Broadway, Lower Level, Bel Air, MD 21014 | 2007-05-25 |
| Find all providers in BEL AIR | ||||
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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.