DR. EDWARD G. SHAIVITZ D.D.S., P.A. (NPI# 1639344732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639344732 |
| Entity Type | Organization |
| Organization Name | DR. EDWARD G. SHAIVITZ D.D.S., P.A. |
| Practice Address |
14333 Laurel Bowie Rd Suite 306 Laurel MD 20708-1126 |
| Practice Telephone | 3014905555 |
| Mailing Telephone | 3014905555 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | EDWARD GARY SHAIVITZ (OWNER) |
| Authorized Official Telephone | 3014905555 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
5236 | MD | Dental Providers |
| Street Address |
14333 LAUREL BOWIE RD SUITE 306 |
| City | LAUREL |
| State | MD |
| Zip Code | 20708-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900929 | Joseph A Herbst | Dentist | 14333 Laurel Bowie Rd, Ste 311, Laurel, MD 20708-1183 | 2005-05-23 |
| 1538682836 | Laurel Endodontics | Dentist | 14333 Laurel Bowie Rd, Ste 300, Laurel, MD 20107 | 2017-07-19 |
| 1487098885 | Carl Justin Oppenheim | Dentist | 14333 Laurel Bowie Rd, Suite 100, Laurel, MD 20708-1126 | 2013-04-29 |
| 1073957536 | Trung Quoc Lam, Dds, PC | Dentist | 14333 Laurel Bowie Rd, Suite 200, Laurel, MD 20708-1126 | 2013-04-26 |
| 1265774087 | Thomas Richard Abecket | Dentist | 14333 Laurel Bowie Rd, Suite 100, Laurel, MD 20708-1126 | 2013-03-19 |
| 1215275425 | Jocelyn Beville Defoe | Dentist | 14333 Laurel Bowie Rd, Ste 201, Laurel, MD 20708-1126 | 2013-01-22 |
| 1306191234 | Palak Parikh | Dentist | 14333 Laurel Bowie Rd, Suite 100, Laurel, MD 20708-1126 | 2012-07-17 |
| 1982986519 | Laurel Pine Pediatrics LLC | Pediatrics | 14333 Laurel Bowie Rd, Suite 206, Laurel, MD 20708 | 2011-09-09 |
| 1316236813 | Decker & Lavine, Dds, Pa | Dentist | 14333 Laurel Bowie Rd, Suite 201, Laurel, MD 20708-1126 | 2011-04-05 |
| 1710146840 | Dr Syed Sadiq | Internal Medicine | 14333 Laurel Bowie Rd, Suite 208, Laurel, MD 20708-1126 | 2008-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
| 1588287072 | Rebecca Sim | Social Worker | 14112 Bramble Court, Apt 101, Laurel, MD 20708 | 2020-05-19 |
| 1265082978 | Leslie Duncan | Nurse Practitioner | 12908 Golden Oak Dr, Laurel, MD 20708 | 2019-09-14 |
| 1043872310 | Josephine Edet | Driver | 8401 Snowden Loop Ct, Laurel, MD 20708 | 2019-07-07 |
| 1073083655 | Mamta Sampemane | Occupational Therapist | 14409 Greenview Drive Ste 102, Laurel, MD 20708 | 2018-11-27 |
| 1669950275 | Ngendap Tengen Coreen | Home Health Aide | 13009 Mistletoe Spring Rd Apt 516, Laurel, MD 20708 | 2018-08-06 |
| 1447737994 | Chelsey Nicole Garwood | Technician | 9614 Muirkirk Rd, Apt C166, Laurel, MD 20708 | 2018-07-26 |
| 1730665951 | Agnes Aka Nkafu | Home Health Aide | 9017 Contee Rd Apt 302, Laurel, MD 20708 | 2018-07-11 |
| 1568988756 | Olabisi Ntumngia | Home Health Aide | 8903 Ascot Lane, Apt 11, Laurel, MD 20708 | 2017-08-18 |
| 1376083014 | Amiable Home Health Inc. | Home Health | 10120 Bignonia Drive, Laurel, MD 20708 | 2017-02-28 |
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| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093932592 | Edward Gary Shaivitz | Dentist | 14333 Laurel Bowie Rd Ste 306, Laurel, MD 20708-1183 | 2007-04-19 |
| 1639233620 | Francis Hunte | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
| 1275902298 | Yeremi A Canizales Dds P A | Dentist | 572 Ritchie Hwy Ste F, Severna Park, MD 21146-2966 | 2015-09-21 |
| 1770911273 | Fotini Chrisopoulos | Dentist | 11 N Eutaw St Apt 405, Baltimore, MD 21201-1794 | 2013-10-18 |
| 1548514730 | Churchton Dental Care | Dentist | 5570 Shady Side Rd, Unit A, Churchton, MD 20733-9639 | 2012-11-09 |
| 1124396551 | Guadalupe Garcia Fay | Dentist | 650 W Baltimore St # 4220, Baltimore, MD 21201-1510 | 2011-12-13 |
| 1598033136 | Mark Edward Brennan | Dentist | 882 Backbone Ct, Westminster, MD 21157-7745 | 2011-12-11 |
| 1366738536 | William E. Chmar | Dentist | 5952 Hubbard Dr, Rockville, MD 20852-4824 | 2011-06-25 |
| 1073812913 | Family Cosmetic & Implant Dentistry | Dentist | 3222 Powder Mill Rd, Adelphi, MD 20783-1037 | 2011-03-17 |
| 1831499433 | Stuart L. Graves Dental Associates, P.C. | Dentist | 11200 Rockville Pike Ste 115, Rockville, MD 20852-7114 | 2010-10-28 |
| 1578707204 | Andrea Denise Jackson | Dentist | 6912 Wade Ave, Clinton, MD 20735-2743 | 2009-04-24 |
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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.