SHORE FAMILY DENTISTRY LLC NPI 1922896646

NPI Information

  • NPI: 1922896646
  • Provider Name: SHORE FAMILY DENTISTRY LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 8850 COLUMBIA 100 PKWY STE 310
    COLUMBIA, MD
    ZIP 21045
  • Phone: (443) 385-0285

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NPI Details

SHORE FAMILY DENTISTRY LLC is a dental clinic center in Columbia, MD. SHORE FAMILY DENTISTRY LLC NPI is 1922896646. The provider is registered as an organization entity type.

The provider's business location address is:

8850 COLUMBIA 100 PKWY STE 310
COLUMBIA, MD
ZIP 21045-377
Phone: (443) 385-0285
Fax: (443) 385-0286

The provider's authorized official is Ijeoma Tagbo .
The authorized official title is Member and has the following contact phone number (410) 725-8373.

The enumeration date for this NPI number is 4/30/2025 and was last updated on 4/30/2025.

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
1261Q00000XClinic/CenterNo
2261QD0000XClinic/CenterDentalYes

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: 3/30/2025

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