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BLUE WATER DENTAL CARE
NPI 1609978881
Dentist - General Practice in Odenton, MD

Active since September 01, 2006
2288 BLUE WATER BLVD, SUITE 420, ODENTON, MD 21113(410) 674-3000(410) 674-7000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Water Dental Care NPPES

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

BLUE WATER DENTAL CARE (NPI 1609978881) is a healthcare organization registered as a general practice in Odenton, Maryland and active in the NPI registry since September 2006. The organization lists Glenn Michael Poch, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1609978881
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGLENN M POCH DDS LLC
Location Address2288 BLUE WATER BLVD, SUITE 420Odenton, MD 21113
Mailing Address2288 Blue Water Blvd, Suite 420Odenton, MD 21113 · (410) 674-3000 · Fax (410) 674-7000
Phone(410) 674-3000
Fax(410) 674-7000
Organization SubpartNo
Authorized OfficialGlenn Michael PochManaging Member · (410) 674-3000
Enumeration DateSeptember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1609978881 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 · 12795
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.
2288 BLUE WATER BLVD, Odenton, MD 21113
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Other Names 1

Doing Business AsBlue Water Dental Care

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 6

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

DEAJA DAVIS
Behavior Technician
2288 BLUE WATER BLVD
ODENTON, MD 21113
Anne Arundel County (410) 874-7338
AMANDA LEWIS BCBA
Behavior Analyst
2288 BLUE WATER BLVD
ODENTON, MD 21113
Anne Arundel County (443) 550-1600
DR. WILLIAM JOSEPH O'CONNELL PSY.D.
Psychologist (Clinical)
2288 BLUE WATER BLVD
ODENTON, MD 21113
Anne Arundel County (410) 941-7272
CHESAPEAKE SMILES, LLC
Dentist (General Practice)
2288 BLUE WATER BLVD, SUITE 420
ODENTON, MD 21113
Anne Arundel County (410) 672-0000
ASIA NICOLE CHAFFIN
Behavior Technician
2288 BLUE WATER BLVD
ODENTON, MD 21113
Anne Arundel County (410) 630-6936
KARLIE FULLER
Behavior Analyst
2288 BLUE WATER BLVD
ODENTON, MD 21113
Anne Arundel County (410) 888-0209

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 Glenn M Poch Dds LLC's NPI number?

The NPI number for Glenn M Poch Dds LLC is 1609978881. It was assigned to this organization in the NPPES registry on September 1, 2006. The provider is doing business as Blue Water Dental Care.

Where is Glenn M Poch Dds LLC located?

Glenn M Poch Dds LLC is located at 2288 Blue Water Blvd Suite 420, Odenton, MD 21113. The listed phone number is (410) 674-3000.

What is Glenn M Poch Dds LLC'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 Glenn M Poch Dds LLC 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.