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KIDS DENTAL SPACE, LLC
NPI 1932840220
Dentist - Pediatric Dentistry in Towson, MD

Active since April 02, 2022
7402 YORK RD STE 204, TOWSON, MD 21204(301) 537-5536 Get Directions Write a Review

NPPES record last updated: April 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kids Dental Space, Llc NPPES

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

KIDS DENTAL SPACE, LLC (NPI 1932840220) is a healthcare organization registered as a pediatric dentistry in Towson, Maryland and active in the NPI registry since April 2022. The organization lists Roxanne Patreace Clarke, Pediatric Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1932840220
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKIDS DENTAL SPACE, LLC
Location Address7402 YORK RD STE 204Towson, MD 21204-7520
Mailing Address8617 Goldenwood RdRosedale, MD 21237-2032 · (301) 537-5536
Phone(301) 537-5536
Organization SubpartNo
Authorized OfficialRoxanne Patreace ClarkePediatric Dentist/owner · (301) 537-5536
Enumeration DateApril 2, 2022
NPPES CertifiedApril 2, 2022
✔ NPI 1932840220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.

7402 YORK RD STE 204, Towson, MD 21204
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Other Identifiers 2

Other1326279829MD · Npi
Medicaid046568200MD

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Kids Dental Space, LLC's NPI number?

The NPI number for Kids Dental Space, LLC is 1932840220. It was assigned to this organization in the NPPES registry on April 2, 2022.

Where is Kids Dental Space, LLC located?

Kids Dental Space, LLC is located at 7402 York Rd Ste 204, Towson, MD 21204. The listed phone number is (301) 537-5536.

What is Kids Dental Space, LLC's specialty?

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

What insurance does Kids Dental Space, LLC accept?

Health plans from UnitedHealthcare list Kids Dental Space, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kids Dental Space, LLC was last updated on April 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.