Healthcare Provider Details

I. General information

NPI: 1295572295
Provider Name (Legal Business Name): DUNSTAN KALANZI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 BELAIR RD STE 104
BALTIMORE MD
21213-1200
US

IV. Provider business mailing address

345 E 24TH ST
NEW YORK NY
10010-4020
US

V. Phone/Fax

Practice location:
  • Phone: 410-522-5777
  • Fax: 410-522-1865
Mailing address:
  • Phone: 212-998-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18864
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: