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PROFESSIONAL DENTAL ALLIANCE OF MARYLAND, LLC
NPI 1720695703
Dentist - Endodontics in Cumberland, MD

Active since September 24, 2020
1415 RIVER AVE STE B, CUMBERLAND, MD 21502(240) 362-7017 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Dental Alliance Of Maryland, Llc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF MARYLAND, LLC (NPI 1720695703) is a healthcare organization registered as an endodontics in Cumberland, Maryland and active in the NPI registry since September 2020. The organization maintains 4 additional practice locations and lists Lauren Howard, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1720695703
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF MARYLAND, LLC
Location Address1415 RIVER AVE STE BCumberland, MD 21502-4629
Mailing Address11 S Mill StNew Castle, PA 16101-3680
Phone(240) 362-7017
Organization SubpartNo
Authorized OfficialLauren HowardCredentialing Specialist · (757) 576-5479
Enumeration DateSeptember 24, 2020
NPPES CertifiedSeptember 24, 2020
✔ NPI 1720695703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
1415 RIVER AVE STE B, Cumberland, MD 21502
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Secondary Practice Locations 4

Location 185 Thomas Johnson Ct Ste AFrederick, MD 21702-4331 · Phone (301) 663-0052
Location 216069 Comprint CirGaithersburg, MD 20877-1321 · Phone (301) 527-8480
Location 31150 Omega Dr Ste 101Hagerstown, MD 21740-5784 · Phone (301) 733-6077
Location 413975 Connecticut Ave Ste 309Silver Spring, MD 20906-2921 · Phone (301) 871-7111

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

Other Providers at the Same Location NPPES 2

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

MMS ENDODONTIC SPECAILIST
Dentist (Endodontics)
1415 RIVER AVE STE B
CUMBERLAND, MD 21502
Allegany County (240) 362-7017
PROFESSIONAL DENTAL ALLIANCE OF MERIDIAN, PLLC
Dentist (Endodontics)
1415 RIVER AVE STE B
CUMBERLAND, MD 21502
Allegany County (240) 362-7017

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 Professional Dental Alliance Of Maryland, LLC's NPI number?

The NPI number for Professional Dental Alliance Of Maryland, LLC is 1720695703. It was assigned to this organization in the NPPES registry on September 24, 2020.

Where is Professional Dental Alliance Of Maryland, LLC located?

Professional Dental Alliance Of Maryland, LLC is located at 1415 River Ave Ste B, Cumberland, MD 21502. The listed phone number is (240) 362-7017.

What is Professional Dental Alliance Of Maryland, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Professional Dental Alliance Of Maryland, LLC was last updated on September 24, 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.