ELITE LEGACY COLLECTIVE, LLC
NPI 1548119092
Clinic/Center - Dental in Nottingham, MD

Q: What is Elite Legacy Collective, LLC's NPI number?

The NPI number for Elite Legacy Collective, LLC is 1548119092. It was assigned to this organization in the NPPES registry on January 27, 2026. The provider is doing business as The Dental Loft at Perry Hall.

Q: What is Elite Legacy Collective, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since January 27, 2026

9712 BELAIR RD STE 304, NOTTINGHAM, MD 21236(410) 538-2422(410) 538-2944 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Elite Legacy Collective, Llc NPPES

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

ELITE LEGACY COLLECTIVE, LLC (NPI 1548119092), doing business as The Dental Loft At Perry Hall, is a healthcare organization registered as a dental in Nottingham, Maryland and active in the NPI registry since January 2026. The organization lists Dana Truesdale, Owner, as its authorized official.

NPPES Registry Identity

NPI1548119092

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameELITE LEGACY COLLECTIVE, LLC

Location Address9712 BELAIR RD STE 304Nottingham, MD 21236-1113

Mailing Address9712 Belair Rd Ste 304Nottingham, MD 21236-1113 · (410) 538-2422 · Fax (410) 538-2944

Phone(410) 538-2422

Fax(410) 538-2944

Organization SubpartNo

Authorized OfficialDana TruesdaleOwner · (804) 614-8812

Enumeration DateJanuary 27, 2026

NPPES CertifiedJanuary 27, 2026

✔ NPI 1548119092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

9712 BELAIR RD STE 304, Nottingham, MD 21236

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Other Names 1

Doing Business AsThe Dental Loft At Perry Hall

Other Providers at the Same Location NPPES

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

MR. ANDREW THEEMAN FRIED DMD

Dentist (Periodontics)

9712 BELAIR RD STE 304
BALTIMORE, MD 21236

Baltimore County (410) 256-6760

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 Elite Legacy Collective, LLC's NPI number?

The NPI number for Elite Legacy Collective, LLC is 1548119092. It was assigned to this organization in the NPPES registry on January 27, 2026. The provider is doing business as The Dental Loft at Perry Hall.

Where is Elite Legacy Collective, LLC located?

Elite Legacy Collective, LLC is located at 9712 Belair Rd Ste 304, Nottingham, MD 21236. The listed phone number is (410) 538-2422.

What is Elite Legacy Collective, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Elite Legacy Collective, LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.