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JESSUP DENTAL ASSOCIATES T/A BLANK RIVERA PA
NPI 1154374676
Dentist - General Practice in Elkridge, MD

Active since May 18, 2006
8182 LARK BROWN RD, SUITE 101, ELKRIDGE, MD 21075(410) 799-2692(410) 799-3931 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessup Dental Associates T/a Blank Rivera Pa NPPES

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

JESSUP DENTAL ASSOCIATES T/A BLANK RIVERA PA (NPI 1154374676) is a healthcare organization registered as a general practice in Elkridge, Maryland and active in the NPI registry since May 2006. The organization lists Emilio Enrique Rivera, President, as its authorized official.

NPPES Registry Identity

NPI1154374676
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJESSUP DENTAL ASSOCIATES T/A BLANK RIVERA PA
Location Address8182 LARK BROWN RD, SUITE 101Elkridge, MD 21075-6420
Mailing Address8182 Lark Brown Rd, Suite 101Elkridge, MD 21075-6420 · (410) 799-2692 · Fax (410) 799-3931
Phone(410) 799-2692
Fax(410) 799-3931
Organization SubpartNo
Authorized OfficialEmilio Enrique RiveraPresident · (410) 799-2692
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154374676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MD · 7902✔ Licensed in MD · 8363
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.
8182 LARK BROWN RD, Elkridge, MD 21075
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

ELISABETH GARRETT CHAKMAKIAN LCSW-C
Social Worker (Clinical)
8182 LARK BROWN RD, STE 201
ELKRIDGE, MD 21075
Howard County (410) 274-7612
PRO-HYGIENE
Dentist
8182 LARK BROWN RD, STE 101
ELKRIDGE, MD 21075
Howard County (410) 799-2692
PAMELA GAYLE ARMSTRONG PH.D.
Psychologist
8182 LARK BROWN RD, SUITE 201
ELKRIDGE, MD 21075
Howard County (410) 872-1175
MS. RALLIE GILCHRIST SNOWDEN LCSW
Social Worker (Clinical)
8182 LARK BROWN RD, SUITE 201
ELKRIDGE, MD 21075
Howard County (301) 437-5689
KARA GRANDEA ACUPUNCTURE & WELLNESS, LLC
Acupuncturist
8182 LARK BROWN RD, SUITE 102
ELKRIDGE, MD 21075
Howard County (410) 375-9607
ANDREW K STANTON MSW, LCSW-C
Social Worker (Clinical)
8182 LARK BROWN RD, SUITE 201
ELKRIDGE, MD 21075
Howard County (410) 707-1267
SARA MOORHEAD PHILLIPS LCMFT
Marriage & Family Therapist
8182 LARK BROWN RD, STE 201
ELKRIDGE, MD 21075
Howard County (410) 696-2183
DR. JASON E ROWER D.C.
Chiropractor
8182 LARK BROWN RD, SUITE 102
ELKRIDGE, MD 21075
Howard County (410) 799-7550

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 Jessup Dental Associates T/A Blank Rivera PA's NPI number?

The NPI number for Jessup Dental Associates T/A Blank Rivera PA is 1154374676. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Jessup Dental Associates T/A Blank Rivera PA located?

Jessup Dental Associates T/A Blank Rivera PA is located at 8182 Lark Brown Rd Suite 101, Elkridge, MD 21075. The listed phone number is (410) 799-2692.

What is Jessup Dental Associates T/A Blank Rivera PA'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 Jessup Dental Associates T/A Blank Rivera PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.