JOPPA GREEN PEDIATRIC DENTISTRY
NPI 1851769731
Dentist - Pediatric Dentistry in Lutherville, MD

Q: What is Susanne S. Wallengren, Dds, LLC's NPI number?

The NPI number for Susanne S. Wallengren, Dds, LLC is 1851769731. It was assigned to this organization in the NPPES registry on September 9, 2015. The provider is doing business as Joppa Green Pediatric Dentistry.

Q: What is Susanne S. Wallengren, Dds, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since September 09, 2015

2324 W JOPPA RD, SUITE 430, LUTHERVILLE, MD 21093(410) 321-0200 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Joppa Green Pediatric Dentistry NPPES

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

JOPPA GREEN PEDIATRIC DENTISTRY (NPI 1851769731) is a healthcare organization registered as a pediatric dentistry in Lutherville, Maryland and active in the NPI registry since September 2015. The organization lists Lisa Black, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1851769731

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSUSANNE S. WALLENGREN, DDS, LLC

Location Address2324 W JOPPA RD, SUITE 430Lutherville, MD 21093-4615

Mailing Address2324 W Joppa Rd, Suite 430Lutherville, MD 21093-4615 · (410) 321-0200

Phone(410) 321-0200

Organization SubpartNo

Authorized OfficialLisa BlackPractice Administrator · (410) 321-0200

Enumeration DateSeptember 9, 2015

✔ NPI 1851769731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in MD · 12747

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2324 W JOPPA RD, Lutherville, MD 21093

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Other Names 1

Doing Business AsJoppa Green Pediatric Dentistry

Other Identifiers 1

Medicaid040520500MD

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 20

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

APRIL MORAN

Social Worker (Clinical)

2324 W JOPPA RD, SUITE 410
LUTHERVILLE, MD 21093

Baltimore County (410) 961-7440

DR. MICHAEL J RIGER DMD

Dentist (Orthodontics and Dentofacial Orthopedics)

2324 W JOPPA RD, SUITE 430
LUTHERVILLE, MD 21093

Baltimore County (410) 321-0505

GREEN SPRING DENTAL CARE

Dentist

2324 W JOPPA RD, SUITE 230
LUTHERVILLE, MD 21093

Baltimore County (410) 337-9505

LISA JANE HOFFMEYER PH.D. LICENSED PSCYH

Psychologist

2324 W JOPPA RD, SUITE 420
LUTHERVILLE, MD 21093

Baltimore County (410) 983-2698

RONY KUSNADI LCPC

Counselor (Professional)

2324 W JOPPA RD, STE 420
LUTHERVILLE, MD 21093

Baltimore County (240) 706-5506

PHYSIOTHERAPY ASSOCIATES INC

Clinic/Center (Physical Therapy)

2324 W JOPPA RD, SUITE 600
LUTHERVILLE, MD 21093

Baltimore County (410) 494-0022

STUART BLUMENTHAL

Clinic/Center (Dental)

2324 W JOPPA RD, SUITE 430
LUTHERVILLE, MD 21093

Baltimore County (410) 321-0200

DR. MYRON KELLNER D.D.S.,P.A.

Dentist

2324 W JOPPA RD, SUITE 110
LUTHERVILLE, MD 21093

Baltimore County (410) 321-1100

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 Susanne S. Wallengren, Dds, LLC's NPI number?

The NPI number for Susanne S. Wallengren, Dds, LLC is 1851769731. It was assigned to this organization in the NPPES registry on September 9, 2015. The provider is doing business as Joppa Green Pediatric Dentistry.

Where is Susanne S. Wallengren, Dds, LLC located?

Susanne S. Wallengren, Dds, LLC is located at 2324 W Joppa Rd Suite 430, Lutherville, MD 21093. The listed phone number is (410) 321-0200.

What is Susanne S. Wallengren, Dds, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Susanne S. Wallengren, Dds, LLC was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.