DOCKSIDE DERMATOLOGY LLC
NPI 1194479972
Dermatology in Millersville, MD

Active since February 09, 2022CLIA 21D2272601 · Certificate of Compliance
8601 VETERANS HWY STE 201, MILLERSVILLE, MD 21108(410) 934-5400(410) 934-0141 Get Directions Write a Review

NPPES record last updated: March 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2023, Feb 9, 2022 (2 updates tracked since 2022).

About Dockside Dermatology Llc NPPES

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

DOCKSIDE DERMATOLOGY LLC (NPI 1194479972) is a healthcare organization registered as a dermatology in Millersville, Maryland and active in the NPI registry since February 2022. The organization holds a CLIA Certificate of Compliance certificate valid through September 14, 2027 and lists Lesley Sutherland, Owner, as its authorized official.

NPPES Registry Identity

NPI1194479972
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDOCKSIDE DERMATOLOGY LLC
Location Address8601 VETERANS HWY STE 201Millersville, MD 21108-1566
Mailing Address8601 Veterans Hwy Ste 201Millersville, MD 21108-1566 · (410) 934-5400 · Fax (410) 934-0141
Fax(410) 934-0141
Organization SubpartNo
Authorized OfficialLesley SutherlandOwner · (410) 533-4200
Enumeration DateFebruary 9, 2022
Last NPPES UpdateMarch 26, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
NPI 1194479972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedClinic/CenterTaxonomy 261Q00000X
8601 VETERANS HWY STE 201, Millersville, MD 21108

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 21D2272601

Dockside Dermatology LLC · Millersville, MD
Active · expires Sep 14, 2027
CLIA Number21D2272601
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorDr. Stephanie A. Clements
Laboratory Phone(410) 934-5400
Laboratory LocationDockside Dermatology LLC8601 Veterans Hwy #201, Millersville, MD 21108
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Dermatology
8601 VETERANS HWY STE 201
MILLERSVILLE, MD 21108

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 Dockside Dermatology LLC's NPI number?

The NPI number for Dockside Dermatology LLC is 1194479972. It was assigned to this organization in the NPPES registry on February 9, 2022.

Where is Dockside Dermatology LLC located?

Dockside Dermatology LLC is located at 8601 Veterans Hwy Ste 201, Millersville, MD 21108. The listed phone number is (410) 934-5400.

What is Dockside Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Dockside Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D2272601) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dockside Dermatology LLC was last updated on March 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.