LGM DDS LLC NPI 1861824104

NPI Information

  • NPI: 1861824104
  • Provider Name: LGM DDS LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: PEARL SMILES DENTAL
  • Address: 6020 MEADOW RDG CTR DR
    SUITE A
    ELKRIDGE, MD
    ZIP 21075
  • Phone: (410) 799-1794

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NPI Details

LGM DDS LLC is a general practice dentist in Elkridge, MD. The provider is 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. LGM DDS LLC NPI is 1861824104. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pearl Smiles Dental.

The provider's business location address is:

6020 MEADOW RDG CTR DR
SUITE A
ELKRIDGE, MD
ZIP 21075-088
Phone: (410) 799-1794
Fax: (410) 799-1794

The provider's authorized official is Mehret Goitom .
The authorized official title is Office Manager and has the following contact phone number (410) 799-1793.

The enumeration date for this NPI number is 8/8/2013 and was last updated on 11/6/2013.

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
11223G0001XDentistGeneral Practice14610MARYLANDYes

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
104607880MEDICAIDDISTRICT OF COLUMBIA
21912215856OTHERMARYLANDINDIVIDUAL NPI NUMBER

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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