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LONGMEADOW FAMILY DENTAL CARE
NPI 1174637185
Dentist - General Practice in Hagerstown, MD

Active since August 18, 2006
19638 LEITERSBURG PIKE, SUITE 103, HAGERSTOWN, MD 21742(301) 739-1100 Get Directions Write a Review

NPPES record last updated: November 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Longmeadow Family Dental Care NPPES

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

LONGMEADOW FAMILY DENTAL CARE (NPI 1174637185) is a healthcare organization registered as a general practice in Hagerstown, Maryland and active in the NPI registry since August 2006. The organization lists Brandon Keith Ellis, Pres/owner, as its authorized official.

NPPES Registry Identity

NPI1174637185
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLONGMEADOW FAMILY DENTAL CARE
Location Address19638 LEITERSBURG PIKE, SUITE 103Hagerstown, MD 21742
Mailing Address19638 Leitersburg Pike, Suite 103Hagerstown, MD 21742-1438 · (301) 739-1100
Phone(301) 739-1100
Organization SubpartNo
Authorized OfficialBrandon Keith EllisPres/owner · (301) 739-1100
Enumeration DateAugust 18, 2006
Last NPPES UpdateNovember 8, 2017
✔ NPI 1174637185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 12508
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.

Also ListedDentistTaxonomy 122300000X · License 14739 (MD)
19638 LEITERSBURG PIKE, Hagerstown, MD 21742
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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

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 Longmeadow Family Dental Care's NPI number?

The NPI number for Longmeadow Family Dental Care is 1174637185. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Longmeadow Family Dental Care located?

Longmeadow Family Dental Care is located at 19638 Leitersburg Pike Suite 103, Hagerstown, MD 21742. The listed phone number is (301) 739-1100.

What is Longmeadow Family Dental Care'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 Longmeadow Family Dental Care was last updated on November 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.