TRENTON DAVIDHEISER (NPI# 1780202358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780202358 |
| Entity Type | Individual |
| Full Name | TRENTON DAVIDHEISER |
| Credential | DDS |
| Practice Address |
1253 W Pratt St Baltimore MD 21223-2684 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 4107274746 |
| Mailing Telephone | 7195761850 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
16992 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | STATE LICENSE | 16992 | 01 |
| Street Address |
1253 W PRATT ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21223-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578645503 | Dawn Frances Abousy | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2600 | 2006-10-19 |
| 1073009767 | Armin Boutehsaz | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2018-07-05 |
| 1922521715 | Alessandra Michele Bonasso | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2017-07-24 |
| 1790166650 | Naimata Saucer | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2015-06-16 |
| 1629484753 | Suzanne Motwaly | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2014-07-09 |
| 1740619691 | Hae Young Eom | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2013-11-01 |
| 1205106648 | Abraham Solomon Zuckerbrod | Optometrist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2012-01-02 |
| 1083939011 | Natalie Kelley | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2600 | 2010-04-01 |
| 1245476068 | Pamela Denise Brogden | Optometrist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2008-12-29 |
| 1205006145 | Michael G Pharris Od PC | Optometrist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2008-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
| 1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
| 1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
| 1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
| 1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
| 1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
| 1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
| 1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
| Find all providers in zip 21223 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234536 | Sheng Ge | Dentist | 305 W Fayette St Apt 1401, Baltimore, MD 21201-3467 | 2020-07-31 |
| 1689122541 | Daniel C Shin, Dds, PC | Dentist | 2835 Smith Ave Ste B, Baltimore, MD 21209-1454 | 2016-09-20 |
| 1568731891 | Frederick Gerard Preis | Dentist | 810 Drohomer Pl, Baltimore, MD 21210-1347 | 2011-12-15 |
| 1942322961 | Edwin Lawrence Morris | Dentist | 4211 Blakely Ave, Suite 104, Baltimore, MD 21236-2407 | 2007-04-03 |
| 1124164215 | Gwendolyn F Dunn | Dentist | 2406 Garrison Blvd, Baltimore, MD 21216-2222 | 2007-01-29 |
| 1356413090 | Robert D Isaacs | Dentist | 8406 Harford Rd, Baltimore, MD 21234-4638 | 2006-11-15 |
| 1881605624 | Edgar Sweren | Dentist | 1001 North Point Blvd, Suite 501, Baltimore, MD 21224 | 2006-08-10 |
| 1124044706 | Donald Martin Russell | Dentist | 4714 Edmondson Avenue, Baltimore, MD 21229 | 2006-07-15 |
| 1720475569 | Ronald Greenwald | Dentist | 1134 N Rolling Rd, Baltimore, MD 21228-3931 | 2015-04-20 |
| 1346646379 | Halethorpe Orthodontics, LLC | Dentist | 4367 Hollins Ferry Rd, Suite 1d, Baltimore, MD 21227-3400 | 2014-11-19 |
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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.