DR. SAMUEL CHARLES HAVRILAK (NPI# 1982714994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982714994 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL CHARLES HAVRILAK |
| Credential | DDS |
| Practice Address |
2419 E Joppa Rd Baltimore MD 21234 |
| Practice Telephone | 4106685035 |
| Practice Fax Number | 4106685036 |
| Mailing Telephone | 4106685035 |
| Mailing Fax Number | 4106685036 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6146 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MARYLAND DENTAL PLAN | 3154 | 01 |
| Street Address |
2419 E JOPPA RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331934 | Nkechi Patricia Jiabana | Nurse Practitioner | 8511 Harford Road, Parkville, MD 21234 | 2020-09-17 |
| 1720604721 | Margaret Jackson | Licensed Practical Nurse | 2 Farmington Ct, Apt J, Parkville, MD 21234 | 2020-06-25 |
| 1225671936 | Center for Creative Values, Inc | Clinic/Center | 8110 Harford Road Suite B, Parkville, MD 21234 | 2019-10-25 |
| 1598267072 | Beyond This Day Behavioral Health | Counselor | 7231 Harford Rd., Baltimore, MD 21234 | 2018-03-01 |
| 1720587454 | Susan Parvis Cheek | Psychologist | 3501 Taylor Av, Baltimore, MD 21234 | 2018-02-08 |
| 1821507823 | Dionna Marcia Joseph | Counselor | 8646 Hoerner Avenue, Parkville, MD 21234 | 2017-09-22 |
| 1023536323 | Marquita Johnson | Home Health Aide | 2245 Pentland Dr Apt A, Parkville, MD 21234 | 2017-09-07 |
| 1538687140 | E & T Healthcare Enterprise | Nurse Practitioner | 8113 Hartford Road, Baltimore, MD 21234 | 2017-09-04 |
| 1295252278 | Amelia Ruth Anthony | Social Worker | 6802 Mcclean Blvd., Baltimore, MD 21234 | 2017-08-29 |
| 1184175440 | Black Nurses Rock - Baltimore. Md Chapter | Preferred Provider Organization | 7017 Hamlet Avenue, Parkville, MD 21234 | 2016-10-20 |
| Find all providers in zip 21234 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1063050714 | Benjamin Franklin Shelton | Dentist | 1501 E 33rd St, Baltimore, MD 21218-3706 | 2019-12-12 |
| 1093351314 | Anna Finkler Dds LLC | Dentist | 4 Reservoir Cir Ste 100, Baltimore, MD 21208-6360 | 2019-11-21 |
| 1528626447 | Healthy Dental of Baltimore LLC | Dentist | 2103 W Patapsco Ave, Baltimore, MD 21230-2946 | 2019-06-05 |
| 1851857668 | Laura Carvalho Kim | Dentist | 2 Hopkins Plz Unit 1511, Baltimore, MD 21201-2942 | 2019-02-17 |
| 1720560733 | Eugene Jang | Dentist | 5710 Bellona Ave Ste 101, Baltimore, MD 21212-3500 | 2018-09-06 |
| 1861985434 | Dana R. Weikel | Dentist | 650 W Baltimore St Fl 7, Baltimore, MD 21201-1510 | 2018-06-08 |
| 1518460062 | Dental Dreams, LLC | Dentist | 6532 Reisterstown Rd, Baltimore, MD 21215-2304 | 2018-03-12 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1073025177 | Ward Levingston Massey | Dentist | 650 W Baltimore St Rm 3-201, Baltimore, MD 21201-1510 | 2017-10-30 |
| Find all providers in BALTIMORE | ||||
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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.