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PROFESSIONAL DENTAL ASSOCIATES LLC
NPI 1184366866
Dentist - General Practice in Bel Air, MD

Active since April 12, 2022
615 W MACPHAIL RD STE 208, BEL AIR, MD 21014(410) 638-0858(410) 638-0057 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 3, 2022, Apr 12, 2022 (2 updates tracked since 2022).

About Professional Dental Associates Llc NPPES

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

PROFESSIONAL DENTAL ASSOCIATES LLC (NPI 1184366866) is a healthcare organization registered as a general practice in Bel Air, Maryland and active in the NPI registry since April 2022. The organization lists Iris Shields, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1184366866
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ASSOCIATES LLC
Location Address615 W MACPHAIL RD STE 208Bel Air, MD 21014-4469
Mailing Address615 W Macphail Rd Ste 208Bel Air, MD 21014-4469 · (410) 638-0858 · Fax (410) 638-0858
Phone(410) 638-0858
Fax(410) 638-0057
Organization SubpartNo
Authorized OfficialIris ShieldsOwner/dentist · (410) 638-0858
Enumeration DateApril 12, 2022
Last NPPES UpdateOctober 3, 20222 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1184366866 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.
615 W MACPHAIL RD STE 208, Bel Air, MD 21014
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Other Names 1

Other NameProfessional Dental Associates Llc

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

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 Professional Dental Associates LLC's NPI number?

The NPI number for Professional Dental Associates LLC is 1184366866. It was assigned to this organization in the NPPES registry on April 12, 2022.

Where is Professional Dental Associates LLC located?

Professional Dental Associates LLC is located at 615 W Macphail Rd Ste 208, Bel Air, MD 21014. The listed phone number is (410) 638-0858.

What is Professional Dental Associates LLC'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 Professional Dental Associates LLC was last updated on October 3, 2022. 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.