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SHRIRAM DENTAL LLC
NPI 1780474627
Dentist in Timonium, MD

Active since May 12, 2025
9475 DEERECO RD STE 402, TIMONIUM, MD 21093(410) 561-8845 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, May 12, 2025 (2 updates tracked since 2025).

About Shriram Dental Llc NPPES

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

SHRIRAM DENTAL LLC (NPI 1780474627), doing business as Legacy Dental Studio, is a healthcare organization registered as a dentist in Timonium, Maryland and active in the NPI registry since May 2025. The organization lists Charuta Modak, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1780474627
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSHRIRAM DENTAL LLC
Location Address9475 DEERECO RD STE 402Timonium, MD 21093-2124
Mailing Address3141 Sonia TrlEllicott City, MD 21043-3276 · (405) 208-9823
Phone(410) 561-8845
Organization SubpartNo
Authorized OfficialCharuta ModakOwner Dentist · (410) 561-8845
Enumeration DateMay 12, 2025
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1780474627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
9475 DEERECO RD STE 402, Timonium, MD 21093
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Other Names 1

Doing Business AsLegacy Dental Studio

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 2

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

LYNN R CHINCHECK, DDS
Dentist
9475 DEERECO RD STE 402
TIMONIUM, MD 21093
Baltimore County (410) 561-8845
MRS. ANGELA MARIE WHELAN RDH
Technician, Other
9475 DEERECO RD STE 402
TIMONIUM, MD 21093
Baltimore County (410) 561-8845

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 Shriram Dental LLC's NPI number?

The NPI number for Shriram Dental LLC is 1780474627. It was assigned to this organization in the NPPES registry on May 12, 2025. The provider is doing business as Legacy Dental Studio.

Where is Shriram Dental LLC located?

Shriram Dental LLC is located at 9475 Deereco Rd Ste 402, Timonium, MD 21093. The listed phone number is (410) 561-8845.

What is Shriram 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 Shriram Dental LLC was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.