EASTERN AVENUE DENTAL, LLC
NPI 1437550761
Dentist in Baltimore, MD

Q: What is Eastern Avenue Dental, LLC's NPI number?

The NPI number for Eastern Avenue Dental, LLC is 1437550761. It was assigned to this organization in the NPPES registry on September 5, 2014.

Q: What is Eastern Avenue Dental, LLC's specialty?

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

Active since September 05, 2014

12412 EASTERN AVE, BALTIMORE, MD 21220(410) 335-7771 Get Directions Write a Review

NPPES record last updated: September 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eastern Avenue Dental, Llc NPPES

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

EASTERN AVENUE DENTAL, LLC (NPI 1437550761) is a healthcare organization registered as a dentist in Baltimore, Maryland and active in the NPI registry since September 2014. The organization lists Sinha Kang, Dentist, as its authorized official.

NPPES Registry Identity

NPI1437550761

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameEASTERN AVENUE DENTAL, LLC

Location Address12412 EASTERN AVEBaltimore, MD 21220

Mailing AddressPo Box BChase, MD 21027-0020 · (410) 335-7771

Phone(410) 335-7771

Organization SubpartNo

Authorized OfficialSinha KangDentist · (410) 335-7771

Enumeration DateSeptember 5, 2014

Last NPPES UpdateSeptember 9, 2014

✔ NPI 1437550761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MD · 13144✔ Licensed in MD · 12853✔ Licensed in MD · 14921✔ Licensed in MD · 15012

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.

12412 EASTERN AVE, Baltimore, MD 21220

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

JOHHN J KRACK D.D.S.

Dentist (General Practice)

12412 EASTERN AVE
MIDDLE RIVER, MD 21220

Baltimore County (410) 335-7771

SUPRINA KAUR

Dentist

12412 EASTERN AVE
MIDDLE RIVER, MD 21220

Baltimore County (410) 335-7771

DR. LLOYD VERNON SCHUBERT JR. D.D.S.

Dentist

12412 EASTERN AVE
BALTIMORE, MD 21220

Baltimore County (410) 335-7771

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 Eastern Avenue Dental, LLC's NPI number?

The NPI number for Eastern Avenue Dental, LLC is 1437550761. It was assigned to this organization in the NPPES registry on September 5, 2014.

Where is Eastern Avenue Dental, LLC located?

Eastern Avenue Dental, LLC is located at 12412 Eastern Ave, Baltimore, MD 21220. The listed phone number is (410) 335-7771.

What is Eastern Avenue Dental, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Eastern Avenue Dental, LLC was last updated on September 9, 2014. 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.