Healthcare Provider Details

I. General information

NPI: 1790668564
Provider Name (Legal Business Name): LYNN ROWLAND RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8441 BELAIR RD STE G3
NOTTINGHAM MD
21236-3024
US

IV. Provider business mailing address

240 EVERETT RD
MONKTON MD
21111-1010
US

V. Phone/Fax

Practice location:
  • Phone: 410-529-3264
  • Fax: 410-529-3267
Mailing address:
  • Phone: 443-854-2691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number4369
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: