FUSION DENTAL (NPI# 1750757597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750757597 |
| Entity Type | Organization |
| Organization Name | FUSION DENTAL |
| Practice Address |
14722 Baltimore Ave Suite 103 Laurel MD 20707-4872 |
| Practice Telephone | 3018439330 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | MRS. CHRISTI KALIN LATHROP (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 3016451344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10965 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255817730 | Fusion Dental | Dentist | 1401 Chain Bridge Rd, Mc Lean, VA 22101-6026 | 2018-07-17 |
| 1558645663 | Fusion Dental | Dentist | 5959 Exchange Drive, Suite 116, Eldersburg, MD 21784 | 2011-10-07 |
| 1932266335 | Fusion Dental | Dentist | 2992 Waldorf Marketplace, Waldorf, MD 20603 | 2007-01-03 |
| 1235693805 | Fusion Dental | Dentist | 1447 York Rd Ste 602, Lutherville, MD 21093-6034 | 2019-01-28 |
| 1205193042 | Fusion Dental | Dentist | 7301 State Highway 161 Ste 198, Irving, TX 75039-2880 | 2012-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FUSION DENTAL LAB LLC | 2134 James St, Bellingham, WA 98225-4140 |
| North Carolina Corporations | Fusion Dental LLC | 10801 Johnston Road, Suite 225, Charlotte, NC 28226-7856 |
| Virginia Business Entities | Fusion Dental P.A. P.C. | 2992 Waldorf Marketplace, Waldorf, Maryland 20603 |
| New York State Corporations | FUSION DENTAL P.C. | 2101 Bay Ridge Parkway, Brooklyn, Ny 11710 |
| Oregon Corporations, Companies and Business Names | FUSION DENTAL SPECIALISTS | 9300 Se 91st Avenue Suite 403, Happy Valley, OR 97086 |
| Street Address |
14722 BALTIMORE AVE SUITE 103 |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| 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 |
|---|---|---|---|---|
| 1205480373 | Cibele Lima Raimondo, Dds, LLC | Dentist | 649 Main St # A, Laurel, MD 20707-4066 | 2019-07-28 |
| 1629561758 | Fernando M Archuleta | Dentist | 535 Main St Ste 113, Laurel, MD 20707-4335 | 2018-06-13 |
| 1134640683 | Dorothy Stancill | Dentist | 1434 Parker Dr, Laurel, MS 39440-1942 | 2017-07-05 |
| 1124479647 | Ghata D Patel | Dentist | 9072 Manorwood Rd, Laurel, MD 20723 | 2016-06-27 |
| 1861832834 | Cody Warner Winterholler | Dentist | 413 Se 4th St, Winterholler Dentistry, Laurel, MT 59044-3317 | 2013-07-04 |
| 1578900718 | Smile Designers LLC | Dentist | 1709 W 20th St, Laurel, MS 39440-1802 | 2013-05-29 |
| 1164770442 | Amy Sellers Morgan | Dentist | 1925 Pine Belt Dr, Laurel, MS 39440-1348 | 2012-08-17 |
| 1871883595 | Hina Rani Goyal | Dentist | 8312 Sweet Cherry Ln, Laurel, MD 20723-1060 | 2011-04-14 |
| 1457665036 | Gregory O. Catchings | Dentist | 15505 Clayburn Dr, Laurel, MD 20707-5415 | 2010-08-05 |
| 1467677393 | Delband Vazirnezami | Dentist | 13940 Baltimore Ave, Laurel, MD 20707-5000 | 2007-04-16 |
| Find all providers in LAUREL | ||||
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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.