DENTRUST DENTAL MARYLAND, P.A.
NPI 1043802242
Dentist - General Practice in Keymar, MD

Active since February 09, 2021
999 CROUSE MILL RD, KEYMAR, MD 21757(866) 916-6447(844) 751-0258 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dentrust Dental Maryland, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTRUST DENTAL MARYLAND, P.A. (NPI 1043802242) is a healthcare organization registered as a general practice in Keymar, Maryland and active in the NPI registry since February 2021. The organization lists Jodie Lynn Bickley, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1043802242
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTRUST DENTAL MARYLAND, P.A.
Location Address999 CROUSE MILL RDKeymar, MD 21757-9109
Mailing Address6097 Easton RdPipersville, PA 18947-1810 · (866) 916-6447 · Fax (844) 751-0258
Fax(844) 751-0258
Organization SubpartNo
Authorized OfficialJodie Lynn BickleyCredentialing · (866) 916-6447
Enumeration DateFebruary 9, 2021
NPPES CertifiedFebruary 9, 2021
NPI 1043802242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
999 CROUSE MILL RD, Keymar, MD 21757

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
999 CROUSE MILL RD
KEYMAR, MD 21757
Counselor (School)
999 CROUSE MILL RD
KEYMAR, MD 21757
General Acute Care Hospital
999 CROUSE MILL RD
KEYMAR, MD 21757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dentrust Dental Maryland, P.A.'s NPI number?

The NPI number for Dentrust Dental Maryland, P.A. is 1043802242. It was assigned to this organization in the NPPES registry on February 9, 2021.

Where is Dentrust Dental Maryland, P.A. located?

Dentrust Dental Maryland, P.A. is located at 999 Crouse Mill Rd, Keymar, MD 21757. The listed phone number is (866) 916-6447.

What is Dentrust Dental Maryland, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dentrust Dental Maryland, P.A. was last updated on February 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.