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ELDERSBURG PEDIATRIC DENTISTRY, LLC
NPI 1093412546
Dentist - Pediatric Dentistry in Sykesville, MD

Active since February 14, 2023
1643 LIBERTY RD STE 103, SYKESVILLE, MD 21784(443) 609-7770 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eldersburg Pediatric Dentistry, Llc NPPES

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

ELDERSBURG PEDIATRIC DENTISTRY, LLC (NPI 1093412546), doing business as Tiny Tooth Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Sykesville, Maryland and active in the NPI registry since February 2023. The organization lists Su Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1093412546
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameELDERSBURG PEDIATRIC DENTISTRY, LLC
Location Address1643 LIBERTY RD STE 103Sykesville, MD 21784-6545
Mailing Address1643 Liberty Rd Ste 103Sykesville, MD 21784-6545 · (443) 609-7770
Phone(443) 609-7770
Organization SubpartNo
Authorized OfficialSu KimOwner · (443) 609-7770
Enumeration DateFebruary 14, 2023
NPPES CertifiedFebruary 14, 2023
✔ NPI 1093412546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1643 LIBERTY RD STE 103, Sykesville, MD 21784
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Other Names 1

Doing Business AsTiny Tooth Pediatric Dentistry

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

WILLIAM N ALLRED DDS PA
Dentist (General Practice)
1643 LIBERTY RD STE 103
ELDERSBURG, MD 21784
Carroll County (410) 795-6610

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 Eldersburg Pediatric Dentistry, LLC's NPI number?

The NPI number for Eldersburg Pediatric Dentistry, LLC is 1093412546. It was assigned to this organization in the NPPES registry on February 14, 2023. The provider is doing business as Tiny Tooth Pediatric Dentistry.

Where is Eldersburg Pediatric Dentistry, LLC located?

Eldersburg Pediatric Dentistry, LLC is located at 1643 Liberty Rd Ste 103, Sykesville, MD 21784. The listed phone number is (443) 609-7770.

What is Eldersburg Pediatric Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Eldersburg Pediatric Dentistry, LLC accept?

Health plans from UnitedHealthcare list Eldersburg Pediatric Dentistry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eldersburg Pediatric Dentistry, LLC was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.