OPNE WIDE LLC NPI 1184492068

NPI Information

  • NPI: 1184492068
  • Provider Name: OPNE WIDE LLC
  • Classification: Dental Laboratory Technician - 126900000X
  • Entity Type: Organization
  • Address: 221 S FULTON AVE
    BALTIMORE, MD
    ZIP 21223
  • Phone: (410) 258-0189

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NPI Details

OPNE WIDE LLC is a dental laboratory technician in Baltimore, MD. The provider is an individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary. OPNE WIDE LLC NPI is 1184492068. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

221 S FULTON AVE
BALTIMORE, MD
ZIP 21223-004
Phone: (410) 258-0189

The provider's authorized official is Terrance Shateek Lawrence .
The authorized official title is Dental Lab Technician and has the following contact phone number (410) 258-0189.

The enumeration date for this NPI number is 12/19/2023 and was last updated on 12/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1126900000XDental Laboratory TechnicianYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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