Healthcare Provider Details

I. General information

NPI: 1548601883
Provider Name (Legal Business Name): ANNAPOLIS FAMILY MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2013
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 GIDDINGS AVE STE M
ANNAPOLIS MD
21401-1437
US

IV. Provider business mailing address

703 GIDDINGS AVE STE M
ANNAPOLIS MD
21401-1437
US

V. Phone/Fax

Practice location:
  • Phone: 410-280-9500
  • Fax: 443-214-5168
Mailing address:
  • Phone: 410-280-9500
  • Fax: 443-214-5168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberD24768
License Number StateMD

VIII. Authorized Official

Name: WILLIAM A DABBS
Title or Position: OWNER
Credential: M.D.
Phone: 410-280-9500