Healthcare Provider Details

I. General information

NPI: 1447906425
Provider Name (Legal Business Name): THOMAS CAHILL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 YORK RD STE 210
LUTHERVILLE MD
21093-6042
US

IV. Provider business mailing address

1407 YORK RD STE 210
LUTHERVILLE MD
21093-6042
US

V. Phone/Fax

Practice location:
  • Phone: 410-821-5553
  • Fax:
Mailing address:
  • Phone: 410-821-5553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number18654
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: