ANDREW BOOKWALTER DDS LLC (NPI# 1891172581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891172581 |
| Entity Type | Organization |
| Organization Name | ANDREW BOOKWALTER DDS LLC |
| Other Organization Name | BERLIN ORAL SURGERY |
| Practice Address |
314 Franklin Ave Ste 401 Berlin MD 21811-1263 |
| Practice Telephone | 4106414710 |
| Practice Fax Number | 4106414720 |
| Mailing Telephone | 4106414710 |
| Mailing Fax Number | 4106414720 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | DR. ANDREW A BOOKWALTER (OWNER) |
| Authorized Official Telephone | 4106414710 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Berlin Oral Surgery | Doing Business As Name - Organization |
| Street Address |
314 FRANKLIN AVE STE 401 |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417206970 | Jarred Abel, Dds, PC | Clinic/Center | 5530 Wisconsin Ave. Suite 930, Chevy Chase, MD 20815 | 2012-08-30 |
| 1457913907 | Akeso Orofacial Surgery, LLC | Clinic/Center | 13934 Baltimore Ave, Laurel, MD 20707-5000 | 2019-07-05 |
| 1528628401 | Oral Surgery of Maryland, LLC Jerome Casper Sole Mbr | Clinic/Center | 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 | 2019-06-13 |
| 1780199166 | Kian Djawdan Dmd Pa | Clinic/Center | 200 Harry S Truman Pkwy, Annapolis, MD 21401-7601 | 2017-12-07 |
| 1518329614 | Chevy Chase Implant & Oral Surgery. L.L.C. | Clinic/Center | 5550 Friendship Blvd Ste 250, Chevy Chase, MD 20815-7296 | 2016-03-28 |
| 1164896395 | Glen Burnie Oral Surgery Associates PC | Clinic/Center | 300 Hospital Dr, # 237, Glen Burnie, MD 21061-6902 | 2015-11-27 |
| 1316310634 | Elyassi's Greenbelt Oral and Facial Surgery | Clinic/Center | 7525 Greenway Center Dr, Suite 109, Greenbelt, MD 20770-3509 | 2015-11-09 |
| 1750774667 | Ross & Abel, LLC | Clinic/Center | 5530 Wisconsin Ave, Suite 640, Chevy Chase, MD 20815-4404 | 2015-03-17 |
| 1891039988 | Washington Oral Surgery Center, LLC | Clinic/Center | 1401 Mercantile Ln, Suite 102, Largo, MD 20774-4301 | 2012-11-15 |
| 1376892018 | Dr. Leonard Goldman, Pa | Clinic/Center | 12510 Prosperity Dr, Suite 250, Silver Spring, MD 20904-1663 | 2012-09-07 |
| 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.