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TYSON BROSS DMD PHD LLC
NPI 1336659721
Dentist - Pediatric Dentistry in Annapolis, MD

Active since October 11, 2017
129 LUBRANO DR STE 300, ANNAPOLIS, MD 21401(410) 224-0018(410) 224-4214 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyson Bross Dmd Phd Llc NPPES

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

TYSON BROSS DMD PHD LLC (NPI 1336659721) is a healthcare organization registered as a pediatric dentistry in Annapolis, Maryland and active in the NPI registry since October 2017. The organization lists Tyson Bross, Principal, as its authorized official.

NPPES Registry Identity

NPI1336659721
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTYSON BROSS DMD PHD LLC
Location Address129 LUBRANO DR STE 300Annapolis, MD 21401-7568
Mailing Address101 Eareckson LnStevensville, MD 21666-3037
Phone(410) 224-0018
Fax(410) 224-4214
Organization SubpartNo
Authorized OfficialTyson BrossPrincipal · (443) 373-1634
Enumeration DateOctober 11, 2017
✔ NPI 1336659721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MD · 14024
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

129 LUBRANO DR STE 300, Annapolis, MD 21401
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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

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 Tyson Bross Dmd Phd LLC's NPI number?

The NPI number for Tyson Bross Dmd Phd LLC is 1336659721. It was assigned to this organization in the NPPES registry on October 11, 2017.

Where is Tyson Bross Dmd Phd LLC located?

Tyson Bross Dmd Phd LLC is located at 129 Lubrano Dr Ste 300, Annapolis, MD 21401. The listed phone number is (410) 224-0018.

What is Tyson Bross Dmd Phd LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Tyson Bross Dmd Phd LLC was last updated on October 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.