FOREST HILL FAMILY & COSMETIC DENTISTRY
NPI 1710940911
Dentist in Forest Hill, MD

NPI Status: Active since April 10, 2006

Contact Information

2 COLGATE DR
SUITE 101
FOREST HILL, MD
ZIP 21050
Phone: (410) 838-6630
Fax: (410) 838-2616

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  • Organization
  • Dentist
  • CLIA Number: 21D0886455
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 05-18-2026

About FOREST HILL FAMILY & COSMETIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Forest Hill Family & Cosmetic Dentistry, a provider established in Forest Hill, Maryland operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1710940911 assigned on April 2006. The practitioner's primary taxonomy code is 122300000X with license number 09735 (MD). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Charles Bryan Ebner Dds (Owner President)

NPI
1710940911
Provider Name
FOREST HILL FAMILY & COSMETIC DENTISTRY
Entity Type
Organization
Location Address
2 COLGATE DR SUITE 101 FOREST HILL, MD 21050
Location Phone
(410) 838-6630
Location Fax
(410) 838-2616
Mailing Address
2 COLGATE DR SUITE 101 FOREST HILL, MD 21050
Mailing Phone
(410) 838-6630
Mailing Fax
(410) 838-2616
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2006
Last Update Date
01-06-2014
Code Navigator

A dentist like Forest Hill Family & Cosmetic Dentistry is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
09735
License State
MD
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHARLES BRYAN EBNER DDS

Authorized Official Title
OWNER PRESIDENT
Authorized Official Phone
(410) 838-6630

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0886455
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
May 19, 2024
Certificate Expiration Date
May 18, 2026
Laboratory Director
DAVID DUNN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Forest Hill Family & Cosmetic Dentistry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710940911, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 8 + 4 + 0 + 9 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1710940911.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Physical Therapist
2 COLGATE DR
FOREST HILL, MD 21050
Physical Therapist
2 COLGATE DR, SUITE 102
FOREST HILL, MD 21050
Physical Therapist
2 COLGATE DR, SUITE 102
FOREST HILL, MD 21050
Pediatrics (Adolescent Medicine)
2 COLGATE DR, SUITE 104
FOREST HILL, MD 21050
Dentist (Periodontics)
2 COLGATE DR, SUITE 103
FOREST HILL, MD 21050
Clinic/Center (Radiology)
2 COLGATE DR, SUITE 204
FOREST HILL, MD 21050
Psychiatry & Neurology (Neurology)
2 COLGATE DR, SUITE 201
FOREST HILL, MD 21050
Psychiatry & Neurology (Neurology)
2 COLGATE DR, SUITE 201
FOREST HILL, MD 21050
Family Medicine
2 COLGATE DR, SUITE 103
FOREST HILL, MD 21050
Orthopaedic Surgery
2 COLGATE DR, SUITE 204
FOREST HILL, MD 21050
Nurse Practitioner (Adult Health)
2 COLGATE DR, SUITE 103
FOREST HILL, MD 21050
Dentist
2 COLGATE DR, SUITE 101
FOREST HILL, MD 21050
Family Medicine
2 COLGATE DR, SUITE 103
FOREST HILL, MD 21050
Clinic/Center
2 COLGATE DR, SUITE 204
FOREST HILL, MD 21050
Clinic/Center (Physical Therapy)
2 COLGATE DR, SUITE 102
FOREST HILL, MD 21050
Nurse Practitioner (Family)
2 COLGATE DR, STE. 102
FOREST HILL, MD 21050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710940911, enumerated as an "organization" on April 10, 2006.

The provider is located at 2 COLGATE DR SUITE 101 FOREST HILL, MD 21050 and the phone number is (410) 838-6630.

Dentist with taxonomy code 122300000X.