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PDOM HAVRE DE GRACE
NPI 1396000790
Dentist in Havre De Grace, MD

Active since July 11, 2012
2021 PULASKI HIGHWAY UNITS A AND B, HAVRE DE GRACE, MD 21078(410) 939-9119 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pdom Havre De Grace NPPES

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

PDOM HAVRE DE GRACE (NPI 1396000790) is a healthcare organization registered as a dentist in Havre De Grace, Maryland and active in the NPI registry since July 2012. The organization lists Mike Cole, Insurance Director, as its authorized official.

NPPES Registry Identity

NPI1396000790
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePDOM HAVRE DE GRACE
Location Address2021 PULASKI HIGHWAY UNITS A AND BHavre De Grace, MD 21078
Mailing Address2021 Pulaski Highway Units A And BHavre De Grace, MD 21078
Phone(410) 939-9119
Organization SubpartNo
Authorized OfficialMike ColeInsurance Director · (727) 726-1611
Enumeration DateJuly 11, 2012
Last NPPES UpdateApril 14, 2015
✔ NPI 1396000790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2021 PULASKI HIGHWAY UNITS A AND B, Havre De Grace, MD 21078
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Pdom Havre De Grace's NPI number?

The NPI number for Pdom Havre De Grace is 1396000790. It was assigned to this organization in the NPPES registry on July 11, 2012.

Where is Pdom Havre De Grace located?

Pdom Havre De Grace is located at 2021 Pulaski Highway Units A And B, Havre De Grace, MD 21078. The listed phone number is (410) 939-9119.

What is Pdom Havre De Grace's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Pdom Havre De Grace accept?

Health plans from UnitedHealthcare list Pdom Havre De Grace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pdom Havre De Grace was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.