U M FDSP ASSOCIATES PA NPI 1316021355

NPI Information

NPI: 1316021355
Provider Name: U M FDSP ASSOCIATES PA
Classification: Dentist - 1223P0106X
Specialization: Oral and Maxillofacial Pathology
Entity Type: Organization
:
CLIA Number: 21D0649765
Address: 650 W. BALTIMORE ST.
7-NORTH
BALTIMORE, MD
ZIP 21201
Phone: (410) 706-7936

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NPI Details

U M FDSP ASSOCIATES PA is an oral and maxillofacial pathology dentist in Baltimore, MD. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. U M FDSP ASSOCIATES PA NPI is 1316021355. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

650 W. BALTIMORE ST.
7-NORTH
BALTIMORE, MD
ZIP 21201-586
Phone: (410) 706-7936
Fax: (410) 706-6115

The provider's authorized official is John Basile .
The authorized official title is Director and has the following contact phone number (410) 706-7936.

The CLIA number assigned to this NPI record is 21D0649765 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 10/15/2025.

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
1	291U00000X	Clinical Medical Laboratory				No
2	291U00000X	Clinical Medical Laboratory		182	MARYLAND	No
3	1223P0106X	Dentist	Oral and Maxillofacial Pathology	4626	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	190003329	OTHER	MARYLAND	RAILROAD MEDICARE
2	418538200	MEDICAID	MARYLAND

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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