MAYO DENTAL LLC (NPI# 1760760367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760760367 |
| Entity Type | Organization |
| Organization Name | MAYO DENTAL LLC |
| Other Organization Name | PUNEETA KEER |
| Practice Address |
55 Mayo Rd Ste 1 Edgewater MD 21037-1805 |
| Practice Telephone | 4109566626 |
| Practice Fax Number | 8773106316 |
| Mailing Telephone | 4109566626 |
| Mailing Fax Number | 8773106316 |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2013-03-14 |
| Authorized Official Name | DR. PUNEETA KEER (DENTAL PROVIDER) |
| Authorized Official Telephone | 4109566626 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
13264 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 012378100 | 05 |
| Other Name | Type Code |
|---|---|
| Puneeta Keer | Other Name - Individual/Organization |
| Street Address |
55 MAYO RD STE 1 |
| City | EDGEWATER |
| State | MD |
| Zip Code | 21037-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757786 | Bh Brightview South River Opco, LLC | Alzheimer Center (Dementia Center) | 8 Lee Airpark Drive, Edgewater, MD 21037 | 2019-12-12 |
| 1821568486 | Ashlee Christine Rodriguez | Social Worker | 2600 Solomons Island Rd., Edgewater, MD 21037 | 2018-11-27 |
| 1497220826 | Charlotte Lanphear | Physician Assistant | 3168 Braverton St., #340, Edgewater, MD 21037 | 2018-10-12 |
| 1134600224 | Fnu Leena Nathan | Physical Therapist | South River Health and Rehabilitation Center, 144 Washington Road, Edgewater, MD 21037 | 2018-08-27 |
| 1386163020 | Collective Transformation Health Services | Counselor | 1642 Shady Side Dr., Edgewater, MD 21037 | 2017-09-13 |
| 1780933143 | Derek Carroll Curran | Chiropractor | 137 Mitchells Chance Rd Ste 100, Edgewater, MD 21037 | 2012-08-31 |
| 1588936678 | Mark Melanson | Community Health Worker | 144 Washington Street, Edgewater, MD 21037 | 2012-02-03 |
| 1467761643 | Melvyn Paul Heyes | Social Worker | 1444 Shore Drive, Edgewater, MD 21037 | 2010-10-05 |
| 1538301486 | Lori Bennett | Physical Therapist | 3179 Braverton Street, Suite 201, Edgewater, MD 21037 | 2009-03-24 |
| 1427278605 | Patricia Ann Zwald | Registered Nurse | 140 Stepney Lane, Edgewater, MD 21037 | 2007-04-27 |
| Find all providers in zip 21037 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154442085 | Nihon Shika Group Mitsuwa | Clinic/Center | 595 River Rd, Mitsuwa Marketplace, Edgewater, NJ 07020-1104 | 2007-04-02 |
| 1750551933 | Admiralty Dental Associates, P.a. | Clinic/Center | 1033 River Rd, Unit #4, Edgewater, NJ 07020-1351 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099782 | Michael Chang Dds PC | Clinic/Center | 16220 Frederick Rd Ste 315, Gaithersburg, MD 20877-4020 | 2020-09-24 |
| 1720694466 | Rouchon Dental | Clinic/Center | 3930 Knowles Ave Ste 302, Kensington, MD 20895-2428 | 2020-09-18 |
| 1013522184 | Niu Dentistry Towson LLC | Clinic/Center | 7801 York Rd Ste 307, Towson, MD 21204-7449 | 2020-09-15 |
| 1245844851 | Green Dentistry, LLC | Clinic/Center | 8611 2nd Ave Ste 201, Silver Spring, MD 20910-6349 | 2020-09-01 |
| 1386256931 | B. Casey Crafton Dds Ms PC | Clinic/Center | 10380 Old Columbia Rd, Columbia, MD 21046-1882 | 2020-08-17 |
| 1407474380 | Russell Park Dental Care, LLC | Clinic/Center | 963 Russell Ave Ste A, Gaithersburg, MD 20879-3287 | 2020-07-08 |
| 1992324750 | Richard L Rogers Dds Pa | Clinic/Center | 2100 Old Farm Dr Ste 1f, Frederick, MD 21702-9494 | 2020-04-13 |
| 1689206278 | Specialists In Orthodontics of Maryland 2, Pllc | Clinic/Center | 888 Bestgate Rd Ste 301, Annapolis, MD 21401-2955 | 2020-02-11 |
| 1730726449 | Sammy Noumbissi Dds Pa | Clinic/Center | 801 Wayne Ave Ste G200, Silver Spring, MD 20910-4450 | 2019-12-02 |
| 1811533839 | Dosh Dental, LLC | Clinic/Center | 3905 National Dr Ste 340, Burtonsville, MD 20866-6111 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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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.