DR. JACK URSIC, PA
NPI 1194944744
Dentist - General Practice in Lusby, MD

Q: What is Dr. Jack Ursic, PA's NPI number?

The NPI number for Dr. Jack Ursic, PA is 1194944744. It was assigned to this organization in the NPPES registry on April 24, 2007.

Q: What is Dr. Jack Ursic, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since April 24, 2007

10025 HG TRUEMAN RD, LUSBY, MD 20657(410) 326-4078(410) 326-9311 Get Directions Write a Review

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

On this page

About Dr. Jack Ursic, Pa NPPES

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

DR. JACK URSIC, PA (NPI 1194944744) is a healthcare organization registered as a general practice in Lusby, Maryland and active in the NPI registry since April 2007. The organization lists Connie Pruitt, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194944744

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDR. JACK URSIC, PA

Location Address10025 HG TRUEMAN RDLusby, MD 20657-2861

Mailing Address10025 Hg Trueman RdLusby, MD 20657-2861 · (410) 326-4078 · Fax (410) 326-9311

Phone(410) 326-4078

Fax(410) 326-9311

Organization SubpartNo

Authorized OfficialConnie PruittOffice Manager · (410) 326-4078

Enumeration DateApril 24, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1194944744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MD · 7289

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.

10025 HG TRUEMAN RD, Lusby, MD 20657

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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JACK H URSIC D.D.S.

Dentist

10025 HG TRUEMAN RD
LUSBY, MD 20657

Calvert County (410) 326-4078

KATHLEEN ROSE THERRIEN

Speech-Language Pathologist

10025 HG TRUEMAN RD, SUITE 105
LUSBY, MD 20657

Calvert County (301) 481-3390

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 Dr. Jack Ursic, PA's NPI number?

The NPI number for Dr. Jack Ursic, PA is 1194944744. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Dr. Jack Ursic, PA located?

Dr. Jack Ursic, PA is located at 10025 Hg Trueman Rd, Lusby, MD 20657. The listed phone number is (410) 326-4078.

What is Dr. Jack Ursic, 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 Dr. Jack Ursic, 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.